Healthcare Provider Details
I. General information
NPI: 1598049231
Provider Name (Legal Business Name): TREASURING LIFE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2011
Last Update Date: 02/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1410 W CHAPEL HILL ST
DURHAM NC
27701-3006
US
IV. Provider business mailing address
604 CALAVARAS LN
KNIGHTDALE NC
27545-7350
US
V. Phone/Fax
- Phone: 919-710-8581
- Fax: 919-261-9083
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RENEE
JONES
Title or Position: CEO
Credential:
Phone: 757-593-1301