Organization
UNITED LIVING, LLC
Active
Organization
UNITED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY PATTERSON (DIRECTOR)
(336) 379-7584
Entity
Organization
Contact information
Practice address
6815 SEATTLE SLEW PL, WHITSETT, NC 27377-6001
(336) 255-5896
Mailing address
PO BOX 36436, GREENSBORO, NC 27416-6436
(336) 379-7584
(336) 379-7584
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL041718
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408470
—
NC
Enumeration date
10/13/2014
Last updated
10/13/2014
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