Cozie'S Supervised Living Inc.
LBN: Cozie'S Supervised Living Inc.
Cozie'S Supervised Living Inc. is an health care organization with primary practice located at 7964 County Line Rd , Liberty NC 27298-9590. The organization recently has 6 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty.
Cozie'S Supervised Living Inc. can be contacted via phone (336) 549-1081, or through Dudley, Crystal via phone (336) 549-1081.
Contact Information
Primary practice address
7964 County Line Rd
Liberty NC 27298-9590
Phone: (336) 549-1081
Fax: (336) 622-1420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | MHL-001-074 | North Carolina |
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | MHL-001-074 | North Carolina |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | MHL-001-074 | North Carolina |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | MHL-001-074 | North Carolina |
| Respite Care Facility / Respite Care | 385H00000X | MHL-001-074 | North Carolina |
| Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | MHL-001-074 | North Carolina |
Profile Details
| NPI number | 1891838116 |
|---|---|
| LBN Legal business name | Cozie'S Supervised Living Inc. |
| DBA Doing business as | |
| Authorized official | Dudley, Crystal |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jun 16th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891838116 | NPPES |
| North Carolina | MEDICAID | 8301579 | |
| North Carolina | MEDICAID | 3409308 | |
| North Carolina | MEDICAID | 7803981 |
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