CHANGING LIVES GROUP HOME III, LLC

BURLINGTON, NC
NPI1881144186
Entity TypeOrganization
Authorized ContactJAQUAY WADE
Director
336-516-6187
Organization Subpart ?No
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date2016-10-11
Last Update Date2016-12-02
Business Address
CHANGING LIVES GROUP HOME III, LLC
636 GUNN ST
BURLINGTON, NC 27217-1508
Phone number: 336-516-6187
Mailing Address
CHANGING LIVES GROUP HOME III, LLC
823 DAY AVE
BURLINGTON, NC 27217-2505
Phone number: