Organization
ECHO TRAIL GROUP HOME
Active
Parent organization
NEW-LITE LIVING CHOICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW-LITE LIVING CHOICES, INC
Authorized official
STEPHANIE CAHOON (BILLING SPECIALIST)
(704) 906-8893
Entity
Organization
Contact information
Practice address
1930 ECHO TRL, PFAFFTOWN, NC 27040-9518
(336) 924-6649
Mailing address
3634 VEST MILL RD, WINSTON SALEM, NC 27103-2910
(704) 547-1900
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604265
—
NC
Enumeration date
05/15/2008
Last updated
05/15/2008
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