| NPI | 1235282930 |
|---|---|
| Former Legal Business Name | UNITED LIVING (WESTHAMPTON HOME) |
| Entity Type | Organization |
| Authorized Contact | ANTHONY PATTERSON Director 336-379-7584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-041-718) |
| Additional Taxonomies | 251S00000X (Licence: NC MHL-041-718) |
| 253Z00000X In Home Supportive Care (Licence: NC MHL-041-718) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC MHL-041-718) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL-041-718) | |
| 385H00000X Respite Care (Licence: NC MHL-041-718) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2015-12-02 |