Organization
LYB CO LLC
Active
Other names
MC2 Professional Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL GISELE JOSEY DAVIS (OWNER)
(336) 708-9294
Entity
Organization
Contact information
Practice address
5771 MONCURE PITTSBORO RD, MONCURE, NC 27559-9598
(336) 708-9294
Mailing address
3912 BATTLEGROUND AVE STE 112-263, GREENSBORO, NC 27410-8575
(336) 708-9294
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
12/10/2024
Last updated
01/15/2026
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