Organization
CHANGING LIVES FAMILY CARE HOME LLC
Active
Organization
CHANGING LIVES FAMILY CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUENTIN PULLIAM (DIRECTOR)
(336) 516-7296
Entity
Organization
Contact information
Practice address
823 DAY AVE, BURLINGTON, NC 27217-2505
(336) 516-7296
Mailing address
823 DAY AVE, BURLINGTON, NC 27217-2505
(336) 516-7296
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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