CHANGING LIVES GROUP HOME III, LLC is an adult care home custodial care facility in Burlington, NC. The provider is 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. CHANGING LIVES GROUP HOME III, LLC NPI is 1881144186. The provider is registered as an organization entity type.
The provider's business location address is:
636 GUNN ST
BURLINGTON, NC
ZIP 27217-508
Phone: (336) 516-6187
The provider's authorized official is Jaquay Wade .
The authorized official title is Director and has the following contact phone number (336) 516-6187.
The CLIA number assigned to this NPI record is 34D2149331 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/11/2016 and was last updated on 12/2/2016.