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:
Map and Directions
Authorized official contact:
Name: Dudley, Crystal
Phone: (336) 549-1081

Health care specialties

SpecialtyCodeLicense #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 16 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 1891838116 NPPES
North Carolina MEDICAID 8301579
North Carolina MEDICAID 3409308
North Carolina MEDICAID 7803981

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