Organization
NUELIFE HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHAUN LEE (OWNER)
(954) 479-9856
Entity
Organization
Contact information
Practice address
708 S 13TH ST, WILMINGTON, NC 28401-5413
(910) 230-0555
Mailing address
4173 HEARTHSIDE DRIVE, 104, WILMINGTON, NC 25841-8335
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2965
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC2965
STATE NC DHHS
NC
Enumeration date
02/15/2013
Last updated
02/15/2013
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