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Cozie's Supervised Living Inc.
Child Intellectual and/or Developmental Disabilities Respite Care in Liberty, North Carolina
NPI 1891838116

Cozie's Supervised Living Inc. is a Child Intellectual and/or Developmental Disabilities Respite Care based in Liberty, NC and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Cozie's Supervised Living Inc. practices in Liberty, NC. The NPI Number for Cozie's Supervised Living Inc. is 1891838116 and holds a License No. MHL-001-074 (North Carolina).

The current practice location address for Cozie's Supervised Living Inc. is 7964 County Line Rd, Liberty, NC and can be reached out via phone at 336-549-1081 and via fax at 336-622-1420.

Location: 7964 County Line Rd, Liberty, NC, 27298-9590
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891838116
Provider Name
Cozie's Supervised Living Inc.
Credential
Provider Entity Type
Organization
Address
7964 County Line Rd, Liberty, NC, 27298-9590
Phone Number
336-549-1081
Fax Number
336-622-1420
Provider Enumeration Date
02/15/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8301579 05 NC
3409308 05 NC
7803981 05 NC
institution
Provider Business Practice Location Address Details
Address
7964 County Line Rd
City
Liberty
State
North Carolina
Zip
27298-9590
Phone Number
336-549-1081
Fax Number
336-622-1420
person
Provider Business Mailing Address Details
Address
7964 County Line Rd
City
Liberty
State
North Carolina
Zip
27298-9590
Phone Number
336-549-1081
Fax Number
336-622-1420
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL-001-074 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-001-074 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
MHL-001-074 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
MHL-001-074 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 5
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
MHL-001-074 (North Carolina)
Definition
Definition to come.
person
Provider's Taxonomy Details 6
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
MHL-001-074 (North Carolina)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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