Organization
BLULIFE COMMUNITY CARE LLC
Active
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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