Provider Demographics
NPI:1013181726
Name:LIVING & LEARNING TOGETHER, LLC
Entity Type:Organization
Organization Name:LIVING & LEARNING TOGETHER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:NJERI
Authorized Official - Middle Name:A
Authorized Official - Last Name:WHITWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-264-6243
Mailing Address - Street 1:1421 E BROAD ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-1968
Mailing Address - Country:US
Mailing Address - Phone:919-264-6243
Mailing Address - Fax:888-529-9571
Practice Address - Street 1:6227 HUNTER ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-6702
Practice Address - Country:US
Practice Address - Phone:919-753-7716
Practice Address - Fax:888-529-9571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities