Organization
LIFE-WAY HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABINA BENEL PMHNP, FNP, DNP (DIRECTOR/OWNER)
(301) 257-0640
Entity
Organization
Contact information
Practice address
7919 MOSSYCUP DR, CHARLOTTE, NC 28215-7159
(301) 257-0640
Mailing address
1 BUFFALO AVE NW STE 201, CONCORD, NC 28025-4004
(980) 859-2230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/30/2020
Last updated
01/19/2023
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