Redeem House, LLC
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Elon, NC
NPI 1073786703 · NPPES record last updated Apr 2, 2008
Key facts
- NPI
- 1073786703
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- MHL-001-157 (NC)
- Legal business name
- REDEEM HOUSE, LLC
- Practice address
- 2729 Gilliam Rd
Elon, NC 27244-9162 - Phone
- (864) 607-8051
- NPI assigned
- Apr 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. London Correl Davis, OWNER
- Title
- Member/Manger
- Phone
- (864) 607-8051
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Redeem House LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | MHL-001-157 | NC | Yes |
Addresses
Primary practice location
2729 Gilliam Rd
Elon, NC 27244-9162
Mailing address
2729 Gilliam Rd
Elon, NC 27244-9162
Phone (864) 607-8051
Other providers in Elon, NC
- Katherine Elizabeth Parrish
- Rita M Phiri- Tucker
- Joseph R. Pringle Jr.
- Private Diagnostic Clinic, PLLC
- Gabriela Jazmin Quintanilla
- Andrea Robertson
- Eric Roman
- Erin Elizabeth Schiemann
- Zoey Scott
- Marie Shaw
All providers in Elon, NC · Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.