Organization
DAISY'S WAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY DANIELLE WILDER JACKO RN (CEO)
(252) 215-1215
Entity
Organization
Contact information
Practice address
323 CLIFTON ST STE 4, GREENVILLE, NC 27858-5053
(252) 215-1215
(252) 215-1214
Mailing address
323 CLIFTON ST STE 4, GREENVILLE, NC 27858-5053
(252) 215-1215
(252) 215-1214
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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