| Lagniappe Enterprises | |
|
132 Wiley Dr Candor NC 27229-9097 | |
| (910) 985-0096 | |
| (910) 974-7160 |
| Full Name | Lagniappe Enterprises |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 132 Wiley Dr, Candor, North Carolina |
| Authorized Official Name and Position | Kevin Bernard Henry (PRESIDENT/CEO) |
| Authorized Official Contact | 9109850096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagniappe Enterprises 512 Riverwind Dr Spring Lake NC 28390-8392 Ph: (910) 985-0096 | Lagniappe Enterprises 132 Wiley Dr Candor NC 27229-9097 Ph: (910) 985-0096 |
| NPI Number | 1003138272 |
|---|---|
| Provider Enumeration Date | 02/15/2010 |
| Last Update Date | 02/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003138272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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