Organization
NEW GENERATION CHURCH/COMMUNITY DEV. CORP
Active
Other names
TENDER LOVE INDEPENDENT HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA EVANS (ADMINISTRATOR)
(919) 553-9251
Entity
Organization
Contact information
Practice address
548 JACK RD, CLAYTON, NC 27520-6121
(919) 553-9251
Mailing address
PO BOX 328, ZEBULON, NC 27597-0328
(919) 553-9251
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-051-129
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804766
—
NC
Enumeration date
02/08/2007
Last updated
07/02/2008
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