Organization
QUALITY CARE LLL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANTHONY BENJAMIN (DIRECTOR- OWNER)
(336) 887-3864
Entity
Organization
Contact information
Practice address
801 PARKWOOD CIR, HIGH POINT, NC 27262-7417
(336) 887-3864
(336) 887-3864
Mailing address
801 PARKWOOD CIR, HIGH POINT, NC 27262-7417
(336) 887-3864
(336) 887-3864
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL-041-994
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-041-994
NC
Other
Enumeration date
10/22/2010
Last updated
01/28/2011
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