Organization
CHANGING LIVES GROUP HOME II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUAY WADE (OWNER)
(336) 516-6187
Entity
Organization
Contact information
Practice address
2321 ALBRIGHT DR, GREENSBORO, NC 27408-5415
(336) 617-8282
Mailing address
823 DAY STREET, BURLINGTON, NC 27217-2505
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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