Organization
CHANGING LIVES HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISCHEL MITCHELL (ADMINISTRATOR)
(910) 580-1923
Entity
Organization
Contact information
Practice address
2504 RAEFORD RD STE C, FAYETTEVILLE, NC 28305-5135
(910) 580-1923
(910) 223-7626
Mailing address
2633 PLUM RIDGE RD, FAYETTEVILLE, NC 28306-7454
(910) 580-1923
(910) 223-7626
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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