Organization
LIFE ENHANCEMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE L LEE M.ED, BA, CSAC-I (MANAGER/PROGRAM DIRECTOR)
(252) 287-7870
Entity
Organization
Contact information
Practice address
100 BRUNSWICK AVE, EMPORIA, VA 23847-2028
(434) 336-1103
(434) 336-1105
Mailing address
100 BRUNSWICK AVE, EMPORIA, VA 23847-2028
(434) 336-1103
(434) 336-1105
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/02/2012
Last updated
05/07/2012
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