| Blulife Community Care Llc | |
|
549 S Williams St Henderson NC 27536-4529 | |
| (252) 915-6654 | |
| Not Available |
| Full Name | Blulife Community Care Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 549 S Williams St, Henderson, North Carolina |
| Authorized Official Name and Position | Cassandra Davis (OWNER) |
| Authorized Official Contact | 2529156654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blulife Community Care Llc 77 Huntington Rd Louisburg NC 27549-7442 Ph: (252) 915-6654 | Blulife Community Care Llc 549 S Williams St Henderson NC 27536-4529 Ph: (252) 915-6654 |
| NPI Number | 1346951910 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346951910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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