| Lltj Enterprises Llc | |
|
110 Smokehouse Ln Cary NC 27513-5431 | |
| (919) 413-6933 | |
| (919) 460-0776 |
| Full Name | Lltj Enterprises Llc |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 110 Smokehouse Ln, Cary, North Carolina |
| Authorized Official Name and Position | Thelma Smith (CEO) |
| Authorized Official Contact | 9194136933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lltj Enterprises Llc 110 Smokehouse Ln Cary NC 27513-5431 Ph: (919) 413-6933 | Lltj Enterprises Llc 110 Smokehouse Ln Cary NC 27513-5431 Ph: (919) 413-6933 |
| NPI Number | 1669560918 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669560918 | NPI | - | NPPES |
| 6603806 | Medicaid | NC |
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