CHANGING LIVES FAMILY CARE HOME LLC NPI 1346681426

NPI Information

NPI: 1346681426
Provider Name: CHANGING LIVES FAMILY CARE HOME LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
823 DAY AVE
BURLINGTON, NC
ZIP 27217
Phone: (336) 516-7296
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CHANGING LIVES FAMILY CARE HOME LLC is an adult mental health clinic center in Burlington, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CHANGING LIVES FAMILY CARE HOME LLC NPI is 1346681426. The provider is registered as an organization entity type.

The provider's business location address is:

823 DAY AVE
BURLINGTON, NC
ZIP 27217-505
Phone: (336) 516-7296

The provider's authorized official is Quentin Pulliam .
The authorized official title is Director and has the following contact phone number (336) 516-7296.

The enumeration date for this NPI number is 7/17/2013 and was last updated on 7/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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