Organization
NUELIFE HEALTH SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHAUN LEE (OWNER/BUS. MGR.)
(954) 479-9856
Entity
Organization
Contact information
Practice address
200 N 13TH ST, 19 C, ERWIN, NC 28339-1700
(910) 230-0555
Mailing address
4173 HEARTHSIDE DR, 104, WILMINGTON, NC 28412-8539
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 OF NC
NC
Enumeration date
11/26/2012
Last updated
11/26/2012
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