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Organization

ENHANCING SPIRITS HOME CARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA MARIE JACOBS RN (ADMINISTRATOR)
(910) 671-8128
Entity
Organization

Contact information

Practice address
100 W 2ND ST, LUMBERTON, NC 28358-5610
(910) 671-8128
(910) 671-8130
Mailing address
100 W 2ND ST, LUMBERTON, NC 28358-5610
(910) 671-8128
(910) 671-8130

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
HC3521
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3418402
NC
Enumeration date
12/18/2007
Last updated
12/18/2007
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