Organization
AS YOU ARE SUPPORTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONZELL OWENS (MANAGER)
(336) 210-0398
Entity
Organization
Contact information
Practice address
2309 WILLIAMS AVE, HIGH POINT, NC 27262-3548
(336) 210-0398
Mailing address
2309 WILLIAMS AVE, HIGH POINT, NC 27262-3548
(336) 210-0398
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NC
251E00000X
Home Health Agency
—
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
NC
261QA0600X
Adult Day Care Clinic/Center
—
NC
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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