| NPI | 1922714732 |
|---|---|
| Doing Business As | CHANGING LIVES RESIDENTIAL CARE, INC. |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MILLER Director 919-730-9917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-02-01 |