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LIFE ENRICHMENT CENTER OF CLEVELAND COUNTY, INC.

Agencies Case Management

Provider NPI: 1801937552

Organization Information:
Organization Name:  LIFE ENRICHMENT CENTER OF CLEVELAND COUNTY, INC.
Organization is Subpart
Authorized Official:  TONI  CAMP  ASSISTANT DIRECTOR  704-484-0405

Practice Location:
110 LIFE ENRICHMENT BLVD  SHELBY, NC 28150-3689 US
Tel: 704-484-0405  Fax: 704-484-0406

Business Mailing Address:
110 LIFE ENRICHMENT BLVD  SHELBY, NC 28150-3689 US
Tel: 704-484-0405  Fax: 704-484-0406

NPI Information:
NPI: 1801937552
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N251B00000XAgencies
Case Management
NCDHHS
N251S00000XAgencies
Community/Behavioral Health
N261QD1600XAmbulatory Health Care Facilities
Clinic/Center
N385H00000XRespite Care Facility
Respite Care
NC
Y261QA0600XAmbulatory Health Care Facilities
Clinic/Center
NC

Other Provider Identifiers:

IssuerNumberStateType
3408527NC05



American Medical Association 2012 taxonomy code information

Code: 261QA0600X

Type:

Classification:



Definition:



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