Organization
INSPIRATION FOR ASPIRATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MARANVILLE MARTIN QP/BS (CEO/FOUNDER)
(704) 664-5363
Entity
Organization
Contact information
Practice address
322 E STATESVILLE AVE, MOORESVILLE, NC 28115-2594
(704) 664-5363
(186) 692-9535
Mailing address
322 E STATESVILLE AVE, MOORESVILLE, NC 28115-2594
(704) 664-5363
(186) 692-9535
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
253Z00000X
In Home Supportive Care Agency
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418834
—
NC
Enumeration date
03/15/2010
Last updated
02/22/2017
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