Organization
ESTES LIVING EASY GROUP HOME
Active
Organization
ESTES LIVING EASY GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA MICHELE RAGLAND (DIRECTOR)
(919) 618-3127
Entity
Organization
Contact information
Practice address
135 SALLIE DR, WARRENTON, NC 27589-8667
(252) 257-1646
Mailing address
4051 RIDGEWAY DR, FRANKLINTON, NC 27525-7534
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL093044
NC
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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