| Life Enhancement Services Of Nc Llc | |
|
13016 Eastfield Rd Ste 200-269 Huntersville NC 28078-6622 | |
| (704) 560-4332 | |
| Not Available |
| Full Name | Life Enhancement Services Of Nc Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 13016 Eastfield Rd Ste 200-269, Huntersville, North Carolina |
| Authorized Official Name and Position | Herbert Arthur Gray (OWNER) |
| Authorized Official Contact | 7045604332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhancement Services Of Nc Llc 13016 Eastfield Rd Ste 200-269 Huntersville NC 28078-6622 Ph: (704) 560-4332 | Life Enhancement Services Of Nc Llc 13016 Eastfield Rd Ste 200-269 Huntersville NC 28078-6622 Ph: (704) 560-4332 |
| NPI Number | 1144834946 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144834946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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