New Life Residential, Inc

NPI 1013201599 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1013201599
Enumeration Date 06/02/2011
Last Updated 06/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name HOLLY HOLLY
Position RESIDENTIAL DIRECTOR
Phone (919) 628-3339
Fax (919) 209-9703
Practice Location
119 HILLTOP DR
FOUR OAKS NC, 27524-9686, US
Phone (919) 628-3339
Fax (919) 209-9703
Business Location
119 HILLTOP DR
FOUR OAKS NC, 27524-9686, US
Phone (919) 628-3339
Fax (919) 209-9703
Toxanomy
Taxonomy Code 320600000X
License State North Carolina
License Number MHL-051-193
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According to our database, New Life Residential, Inc NPI is 1013201599, taxonomy code is 320600000X and license number is MHL-051-193, license state is located at North Carolina. New Life Residential, Inc physically located at 119 Hilltop Dr, Four Oaks NC, 27524-9686. NPI Number 1033115704 has the healthcare provider type.

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1013201599 NPI number is provided on an as is basis without warranty of any kind. 1013201599 is maintained by the National Plan & Provider Enumeration System. The contents of New Life Residential, Inc are for informational purposes only.