Organization
LIFE ALLIANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY BYRD (VP ADMINISTRATION)
(336) 957-7250
Entity
Organization
Contact information
Practice address
967 SPARTA RD, NORTH WILKESBORO, NC 28659-8090
(336) 838-5229
Mailing address
379 WHISPERING PINES RD, NORTH WILKESBORO, NC 28659-9215
(336) 957-7250
(336) 838-5449
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409663
—
NC
Enumeration date
08/31/2006
Last updated
02/15/2024
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