| NPI | 1780728949 |
|---|---|
| Doing Business As | LEISURE LIVING CARE HOME |
| Entity Type | Organization |
| Authorized Contact | GLORIA J. ROSS Executive Director 704-933-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC MHL078182) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |