OMEGA INDEPENDENT LIVING SERVICES, INC.
Residential Treatment Facilities at Mackinac Island Ln, Raleigh, NC

License number
North Carolina MHL-092-595
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: MR. DONALD K GRANTHAM
Title: DIRECTOR OF OPERATIONS
Phone: (919) 255-3268
Address
Address
4012 Mackinac Island Ln, Raleigh, NC 27610
National Provider ID: 1659513661
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about OMEGA INDEPENDENT LIVING SERVICES, INC. at bizstanding.com

Omega Independent Living Services Inc

Raleigh, NC

Status:
Inactive
Industry:
Intermediate Care Facility
Registration:
Oct 1, 2002
Site:
omegails.com
Phone:
(919) 255-3268 (Phone), (919) 250-2004 (Fax)
Addresses:
3029 Stony Brk Dr, Raleigh, NC 27604
3029 Stoneybrook Dr STE 105, Raleigh, NC 27604
Director, VP of Operationss:
Donald Gratham (Director of Operations),Donald Grantham (President, Owner),Delwin Clark Director, VP of Finance, inactive,...
SIC6:
805200 - Intermediate care facility
Categories:
Mental Health Clinics, Social Service Organizations
Company size:
28

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