| Coastlands Ministries/project Lazarus | |
|
5368 Nc Highway 16 S Moravian Falls NC 28654-9586 | |
| (336) 667-8100 | |
| (866) 400-9915 |
| Full Name | Coastlands Ministries/project Lazarus |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5368 Nc Highway 16 S, Moravian Falls, North Carolina |
| Authorized Official Name and Position | Fred Wells Brason (PRESIDENT/CEO) |
| Authorized Official Contact | 3366678100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastlands Ministries/project Lazarus 5368 Nc Highway 16 S Moravian Falls NC 28654-9586 Ph: (336) 667-8100 | Coastlands Ministries/project Lazarus 5368 Nc Highway 16 S Moravian Falls NC 28654-9586 Ph: (336) 667-8100 |
| NPI Number | 1679933089 |
|---|---|
| Provider Enumeration Date | 02/26/2016 |
| Last Update Date | 02/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679933089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |