Organization
LILLIE'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERRY DENISE CRISP (ADMINISTRATOR)
(336) 222-9424
Entity
Organization
Contact information
Practice address
1804 HARRIS DR, BURLINGTON, NC 27217-8310
(336) 222-9424
(336) 570-0365
Mailing address
1804 HARRIS DR, BURLINGTON, NC 27217-8310
(336) 222-9424
(336) 570-0365
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL001156
NC
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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