The Door Of Life Residential Services

NPI 1265564314 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1265564314
Enumeration Date 03/12/2007
Last Updated 06/24/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HARVEY W HARVEY
Position CEO
Phone (336) 420-3195
Fax
Practice Location
227 CONSTITUTION WAY
CAMERON NC, 28326-9296, US
Phone (336) 420-3195
Fax
Business Location
1504 BRAMBER PL
CONWAY SC, 29527-3177, US
Phone
Fax
Toxanomy
Taxonomy Code 320800000X
License State North Carolina
License Number MHL043069
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According to our database, The Door Of Life Residential Services NPI is 1265564314, taxonomy code is 320800000X and license number is MHL043069, license state is located at North Carolina. The Door Of Life Residential Services physically located at 227 Constitution Way, Cameron NC, 28326-9296. NPI Number 1033115704 has the healthcare provider type.

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1265564314 NPI number is provided on an as is basis without warranty of any kind. 1265564314 is maintained by the National Plan & Provider Enumeration System. The contents of The Door Of Life Residential Services are for informational purposes only.