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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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