EXCEL FOR LIFE, LLC (CHERRYRUN HOME)
Residential Treatment Facilities at Cherry Run Rd, Washington, NC

License number
North Carolina 007052
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. MARIO JERMAINE JACKSON CRIMINAL JUSTICE
Title: DIRECTOR
Phone: (252) 205-0381
Address
Address
2310 Cherry Run Rd, Washington, NC 27889
National Provider ID: 1942369079
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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