Provider Demographics
NPI:1457697112
Name:MEANINGFUL LIVING
Entity Type:Organization
Organization Name:MEANINGFUL LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BRETTA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:980-621-4414
Mailing Address - Street 1:48 LAIR BROWN RD
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:NC
Mailing Address - Zip Code:28399-9590
Mailing Address - Country:US
Mailing Address - Phone:980-621-4414
Mailing Address - Fax:
Practice Address - Street 1:48 LAIR BROWN RD
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:NC
Practice Address - Zip Code:28399-9590
Practice Address - Country:US
Practice Address - Phone:980-621-4414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-27
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness