Organization
CIRCLE OF LIFE INTERNATIONAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHEAN MAURICE LEWIS (PRESIDENT)
(704) 299-8912
Entity
Organization
Contact information
Practice address
14533 WESTGREEN DR, HUNTERSVILLE, NC 28078-0611
(704) 299-8912
(704) 948-6033
Mailing address
14533 WESTGREEN DR, HUNTERSVILLE, NC 28078-0611
(704) 299-8912
(704) 948-6033
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10422038
VOCATIONAL REHABILITATION SERVICES
NC
Enumeration date
10/13/2008
Last updated
11/10/2009
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