Changing Lives Group Home II LLC

NPI #1548615651 in Greensboro, North Carolina

Provider Information

NPI Number
1548615651
Entity Type
Organization
Organization Name
Changing Lives Group Home II LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 26, 2016
Last Updated
Apr 26, 2016

Practice Location

Address
2321 ALBRIGHT DR
ZIP Code
27408-5415
Phone
(336) 617-8282

Authorized Official

Name
JAQUAY WADE
Title
OWNER
Phone
(336) 516-6187

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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