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 only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Cozie'S Supervised Living Inc can be contacted via phone (336) 622-2754, or through Shoffner, Crystal Demetrus via phone (336) 549-1081.

Contact Information

Primary practice address
7964 County Line Rd Liberty NC 27298-9590
Phone: (336) 622-2754
Fax: (336) 622-1420
Website:
Map and Directions
Authorized official contact:
Name: Shoffner, Crystal Demetrus
Phone: (336) 549-1081

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X MHL-001-074 North Carolina
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X MHL-076-098 North Carolina

Profile Details

NPI number 1770727281
LBN Legal business name Cozie'S Supervised Living Inc
DBA Doing business as
Authorized official Shoffner, Crystal Demetrus
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2009
Last updated Sep 19th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770727281 NPPES
North Carolina MEDICAID 3409308
North Carolina MEDICAID 7803981

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