Lillies Residential Service'S

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LILLIES RESIDENTIAL SERVICE'S

Practice address

2168 Lakewood Falls Rd
Goldston, NC 27252-8916

Phone

(919) 353-2746

Fax

(919) 258-9830

NPI assigned

Jan 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lillie Dorine Bradley

Title

Owner

Phone

(919) 353-2746

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1861677346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 EVERS AVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273328519",
            "telephone_number": "919-353-2746",
            "fax_number": "919-258-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 LAKEWOOD FALLS RD",
            "city": "GOLDSTON",
            "state": "NC",
            "postal_code": "272528916",
            "telephone_number": "919-353-2746",
            "fax_number": "919-258-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIES RESIDENTIAL SERVICE'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "DORINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-353-2746",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Goldston, NC
• Providers in Goldston, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.