Organization
BLULIFE COMMUNITY CARE LLC
Active
Other names
BluLife Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA DAVIS (OWNER)
(252) 915-6654
Entity
Organization
Contact information
Practice address
549 S WILLIAMS ST, HENDERSON, NC 27536-4529
(252) 915-6654
Mailing address
77 HUNTINGTON RD, LOUISBURG, NC 27549-7442
(252) 915-6654
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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