Organization
LIFE SOLUTIONS
Active
Other names
Meadowbrook
Organization subpart
No
Provider details
NPI number
Authorized official
MARREA EVANS (OWNER)
(910) 272-0161
Entity
Organization
Contact information
Practice address
159 JUANITA ROAD, MAXTON, NC 28354
(910) 844-9862
Mailing address
2602 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-0161
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL078014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603743
—
NC
Enumeration date
09/11/2007
Last updated
03/04/2008
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