Organization
INDEPENDENT HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN BALLARD SMITH JR. (MANAGER OF OPERATIONS)
(866) 825-5057
Entity
Organization
Contact information
Practice address
811 S 12TH ST, LILLINGTON, NC 27546-6865
(866) 825-5057
Mailing address
811 S 12TH ST, LILLINGTON, NC 27546-6865
(866) 825-5057
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
311ZA0620X
NC
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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