| Life Enhancement Services, Llc | |
|
701 E 2nd Ave Suite 5 Gastonia NC 28054-7144 | |
| (704) 342-9595 | |
| Not Available |
| Full Name | Life Enhancement Services, Llc |
|---|---|
| Speciality | Case Management |
| Location | 701 E 2nd Ave, Gastonia, North Carolina |
| Authorized Official Name and Position | Herb Gray (OWNER) |
| Authorized Official Contact | 7043429595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhancement Services, Llc 500 E Morehead St 110 Charlotte NC 28202-2616 Ph: (704) 342-9595 | Life Enhancement Services, Llc 701 E 2nd Ave Suite 5 Gastonia NC 28054-7144 Ph: (704) 342-9595 |
| NPI Number | 1487888475 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 05/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487888475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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