Organization
ARCH ANGEL'S ENTERRISES II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARCOLA SMITH LEWIS (OWNER/PROVIDER)
(336) 529-2604
Entity
Organization
Contact information
Practice address
144 RETNUH DR, WINSTON SALEM, NC 27105-2231
(336) 529-2604
Mailing address
144 RETNUH DR, WINSTON SALEM, NC 27105-2231
(336) 529-2604
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
Update your record
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