M&s Supervised Living LLC

NPI #1417146531 in Browns Summit, North Carolina

Provider Information

NPI Number
1417146531
Entity Type
Organization
Organization Name
M&s Supervised Living LLC
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Oct 15, 2007
Last Updated
Feb 16, 2009

Practice Location

Address
7311A FRIENDSHIP CHURCH RD
ZIP Code
27214-9728
Phone
(336) 656-7809

Authorized Official

Name
SIBILLIA GRAVES
Title
OWNER
Phone
(336) 656-7767

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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