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Organization

TRULY BLESSED RESIDENTIAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATOYA SCRIVEN MCMILLER (OWNER/QP)
(910) 729-9659
Entity
Organization

Contact information

Practice address
7824 PITTSBORO GOLDSTON RD, BEAR CREEK, NC 27207-9551
(919) 898-4112
Mailing address
PO BOX 384, SANFORD, NC 27331-0384
(910) 729-9659

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
07/27/2021
Last updated
07/27/2021
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