Organization
REDESIGNING LIFE OF N.C.,LL
Active
Organization
REDESIGNING LIFE OF N.C.,LL
Active
Parent organization
HARVEST CARE OF N.C., LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARVEST CARE OF N.C., LLC
Authorized official
CHANDRA REVIS PEGUES (DIRECTOR/OWNER)
(252) 363-4122
Entity
Organization
Contact information
Practice address
806 TARBORO ST W, SUITE A, WILSON, NC 27893-4771
(252) 363-4122
(252) 296-0033
Mailing address
PO BOX 683, WILSON, NC 27894-0683
(252) 363-4122
(252) 296-0033
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MHL-098-173
NC
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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