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Organization
MIND & MOBILITY, LLC
Active
Organization
MIND & MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DESHON WISE (OWNER)
(919) 671-1989
Entity
Organization
Contact information
Practice address
563 WILLIAMS RD, SPRING HOPE, NC 27882-7524
(919) 671-1989
Mailing address
1513 PARKS VILLAGE RD, ZEBULON, NC 27597-9580
(919) 671-1989
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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