Organization
LIFE ENHANCEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN COLLINS (DIRECTOR OF CLINICAL OPERATIONS)
(704) 342-9595
Entity
Organization
Contact information
Practice address
411 W CHAPEL HILL ST, SUITE 902, DURHAM, NC 27701-3616
(919) 956-7176
(919) 682-2339
Mailing address
411 W CHAPEL HILL ST, SUITE 902, DURHAM, NC 27701-3616
(919) 956-7176
(919) 682-2339
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
385H00000X
Respite Care
—
NC
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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