Healthcare Provider Details

I. General information

NPI: 1104957786
Provider Name (Legal Business Name): ADULT LIFE PROGRAMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 SECOND AVENUE PLACE NE
CONOVER NC
28613
US

IV. Provider business mailing address

PO BOX 807
HICKORY NC
28603-0807
US

V. Phone/Fax

Practice location:
  • Phone: 828-464-0078
  • Fax:
Mailing address:
  • Phone: 828-326-9120
  • Fax: 828-327-2661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL BRACKETT
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 828-326-9120