34D2149331 CLIA NUMBER - CHANGING LIVES FAMILY CARE HOME LLC

Laboratory Demographics

CLIA Number: 34D2149331

Facility Name: CHANGING LIVES FAMILY CARE HOME LLC

Facility Address:
207 AARONS WAY
BURLINGTON, NC
ZIP 27217
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Facility Phone Number: 336 516-6187

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1881144186

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	34D2149331
LAB Type	Assisted Living Facility
Facility Name	CHANGING LIVES FAMILY CARE HOME LLC
Street	207 AARONS WAY
City	BURLINGTON
State	NC
ZIP	27217
Phone	336 516-6187
CertificateType	4
CertificateEffectiveDate	5/31/2022
CertificateExpirationDate	5/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024