Organization
BLULIFE COMMUNITY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA DAVIS (OWNER)
(252) 915-6654
Entity
Organization
Contact information
Practice address
108 S BODDIE ST, NASHVILLE, NC 27856-1220
(252) 915-6654
Mailing address
502 FORD CIR, LOUISBURG, NC 27549-2230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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