Organization
CELEBRATE LIFE DAY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS JERMAINE DAVIS (CEO/ADMINISTRATOR)
(919) 452-9324
Entity
Organization
Contact information
Practice address
5869 YADKIN RD, FAYETTEVILLE, NC 28303-2656
(919) 452-9324
Mailing address
204 LOVINGTON DR, FAYETTEVILLE, NC 28303-2330
(919) 452-9324
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
Other
Enumeration date
10/31/2009
Last updated
10/31/2009
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