Organization
MARSH'S RESIDENTIAL LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MARSH (DIRECTOR)
(336) 622-0252
Entity
Organization
Contact information
Practice address
615 E SWANNANOA AVE, LIBERTY, NC 27298-3002
(336) 622-0252
(336) 622-0252
Mailing address
615 E SWANNANOA AVE, LIBERTY, NC 27298-3002
(336) 622-0252
(336) 622-0252
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
MHL-076-125
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-076-125
NC
Other
Enumeration date
04/11/2016
Last updated
01/04/2017
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