Organization
SEDALIA CENTER #1
Active
Organization
SEDALIA CENTER #1
Active
Parent organization
LIGGINS FAMILY CARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIGGINS FAMILY CARE INC
Authorized official
MS. GLENDA T LIGGINS (OWNER)
(336) 275-7328
Entity
Organization
Contact information
Practice address
6141 BLUE LANTERN RD, GIBSONVILLE, NC 27249-8737
(336) 275-7328
(336) 272-6359
Mailing address
6141 BLUE LANTERN RD, GIBSONVILLE, NC 27249-8737
(336) 275-7328
(336) 272-6359
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-041-779
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MHL-041-779
—
NC
Enumeration date
05/04/2007
Last updated
06/30/2008
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