Organization · NPI-2

Affluent Treasures LLC

Custodial Care Facility · Greensboro, NC

NPI number1679153571

StatusActive

Last updated in NPPESNov 30, 2021

Details

NPI: 1679153571
Entity type: Organization (NPI-2)
Legal business name: Affluent Treasures LLC
Organization subpart: No
Enumeration date: Apr 13, 2021
Certification date: Nov 30, 2021
Last updated: Nov 30, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
311Z00000X	Custodial Care Facility	–	–	Yes
251B00000X	Case Management	–	–
251E00000X	Home Health	–	–
251S00000X	Community/Behavioral Health	–	–
253Z00000X	In Home Supportive Care	–	–
311ZA0620X	Custodial Care Facility, Adult Care Home	–	–
320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
374U00000X	Home Health Aide	–	–

Practice location

307 Melbourne Rd
Greensboro, NC 27405-4319

Phone 336-505-9605 · Fax 888-371-6371

Mailing address

2406 Pineview Dr
Greensboro, NC 27407-4730

Phone 336-505-9605

Authorized official

Keshea Lanell Montgomery
Ceo
3365059605

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