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Organization

ESSENTIALLY LIVING INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AARON ANDERSON (CEO)
(704) 913-5779
Entity
Organization

Contact information

Practice address
301 S BATTLEGROUND AVE, KINGS MOUNTAIN, NC 28086-3601
(704) 739-3997
(704) 739-6420
Mailing address
PO BOX 1593, KINGS MOUNTAIN, NC 28086-1593
(704) 739-3997
(704) 739-6420

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-023-092
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6604127
NC
Enumeration date
02/12/2007
Last updated
09/11/2007
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