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Organization

UNITED LIVING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY PATTERSON (DIRECTOR)
(336) 379-7584
Entity
Organization

Contact information

Practice address
1937A MOUNT HOPE CHU RD, MC LEANSVILLE, NC 27301-9628
(336) 379-7584
Mailing address
PO BOX 36436, GREENSBORO, NC 27416-6436
(336) 379-7584

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL-041-1120
NC
253Z00000X
In Home Supportive Care Agency
MHL-041-1120
NC
311ZA0620X
Adult Care Home Facility
MHL-041-1120
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-041-1120
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-041-1120
NC
385H00000X
Respite Care
MHL-041-1120
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408470
NC
Enumeration date
07/02/2015
Last updated
11/20/2015
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