| Life Enhancement Services Llc | |
|
1449 Joe Brown Hwy N Chadbourn NC 28431-7211 | |
| (910) 738-4000 | |
| Not Available |
| Full Name | Life Enhancement Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1449 Joe Brown Hwy N, Chadbourn, North Carolina |
| Authorized Official Name and Position | Herbert Gray (CEO) |
| Authorized Official Contact | 9107384000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhancement Services Llc 401 E 11th St Lumberton NC 28358-4807 Ph: () - | Life Enhancement Services Llc 1449 Joe Brown Hwy N Chadbourn NC 28431-7211 Ph: (910) 738-4000 |
| NPI Number | 1316247190 |
|---|---|
| Provider Enumeration Date | 10/27/2010 |
| Last Update Date | 10/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316247190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL024086 (North Carolina) | Primary |
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