INDEPENDENT LIVING GROUP HOME, LLC

WINSTON SALEM, NC
NPI1093991234
Entity TypeOrganization
Authorized ContactSHANITA LOVELACE
Director/ Owner
336-767-4540
Organization Subpart ?No
Primary Taxonomy251S00000X 
Additional Taxonomies311ZA0620X Custodial Care Facility, Adult Care Home
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities
(Licence: NC  034-224)
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date2008-01-17
Last Update Date2019-11-18
Business Address
INDEPENDENT LIVING GROUP HOME, LLC
924 CLOISTER DR
WINSTON SALEM, NC 27127
Phone number: 336-767-4540
Mailing Address
INDEPENDENT LIVING GROUP HOME, LLC
7748 N POINT BLVD
WINSTON SALEM, NC 27106-3310
Phone number: 336-767-4540
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