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Cozie'S Supervised Living Inc.

Community/Behavioral Health Agency in Liberty, NC · enumerated 2007 · authorized official Crystal Dudley, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891838116

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Registry record

Entity type Organization (Type 2)
Legal business name Cozie'S Supervised Living Inc.
Practice address 7964 County Line Rd, Liberty, NC, 27298
Phone (336) 549-1081
Fax (336) 622-1420
Enumeration date Feb 15, 2007
Last updated in NPPES Jun 16, 2008

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities · License MHL-001-074 (NC) Secondary
320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities · License MHL-001-074 (NC) Secondary
385H00000X Respite Care Respite Care Facility · License MHL-001-074 (NC) Secondary
320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities · License MHL-001-074 (NC) Secondary
385HR2060X Child Intellectual and/or Developmental Disabilities Respite Care Respite Care Facility · License MHL-001-074 (NC) Secondary
251S00000X Community/Behavioral Health Agency Agencies · License MHL-001-074 (NC) Primary

Authorized official

Name Crystal Dudley
Title Administrator
Phone (336) 549-1081

Other identifiers

Identifier Type State Issuer
8301579 Medicaid NC -
3409308 Medicaid NC -
7803981 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Cozie'S Supervised Living Inc. located?
The practice location on file with NPPES is in Liberty, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-16. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-16.