| Lilyco Services, Llc | |
|
112 W Winder St Henderson NC 27536-4239 | |
| (919) 395-8032 | |
| (919) 395-8032 |
| Full Name | Lilyco Services, Llc |
|---|---|
| Speciality | Family Medicine - Addiction Medicine |
| Location | 112 W Winder St, Henderson, North Carolina |
| Authorized Official Name and Position | Yolando Oxendine (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9193958032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilyco Services, Llc 7004 Spanglers Spring Way Raleigh NC 27610-5271 Ph: (919) 395-8032 | Lilyco Services, Llc 112 W Winder St Henderson NC 27536-4239 Ph: (919) 395-8032 |
| NPI Number | 1215459839 |
|---|---|
| Provider Enumeration Date | 07/14/2017 |
| Last Update Date | 07/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215459839 | NPI | - | NPPES |
| 1588641880 | Medicaid | NC | |
| 1861730095 | Medicaid | NC |
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