Organization
ESSENTIALLY LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON T ANDERSON (OWNER)
(704) 913-5779
Entity
Organization
Contact information
Practice address
301 S BATTLEGROUND AVE, KINGS MOUNTAIN, NC 28086-3601
(704) 739-3997
(704) 739-6420
Mailing address
PO BOX 1593, KINGS MOUNTAIN, NC 28086-1593
(704) 739-3997
(704) 739-6420
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300608B
—
NC
Enumeration date
08/24/2007
Last updated
08/24/2007
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