Organization
LIFE ENRICHMENT CENTER OF CLEVELAND COUNTY, INC.
Active
Parent organization
LIFE ENRICHMENT CENTER OF CLEVELAND COUNTY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFE ENRICHMENT CENTER OF CLEVELAND COUNTY, INC.
Authorized official
TONI CAMP RN (ASSISTANT DIRECTOR)
(704) 484-0405
Entity
Organization
Contact information
Practice address
110 LIFE ENRICHMENT BLVD, SHELBY, NC 28150-3689
(704) 484-0405
(704) 484-0406
Mailing address
110 LIFE ENRICHMENT BLVD, SHELBY, NC 28150-3689
(704) 484-0405
(704) 484-0406
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
DHHS
NC
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
NC
261QD1600X
Developmental Disabilities Clinic/Center
—
—
385H00000X
Respite Care
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408527
—
NC
Enumeration date
02/08/2007
Last updated
03/17/2018
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