Organization
LUXURY LEARNING RESORT AND SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHA RIDGES (EXECUTIVE DIRECTOR)
(919) 777-6908
Entity
Organization
Contact information
Practice address
201 N HORNER BLVD, SANFORD, NC 27330-3913
(919) 777-6908
Mailing address
201 N HORNER BLVD, SANFORD, NC 27330-3913
(919) 777-6908
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121179
—
NC
Enumeration date
01/25/2016
Last updated
01/25/2016
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