Organization
LIFTDAY ACTIVITY CENTER
Active
Other names
Lift
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDEX RENEA MEEKS (OFFICE ADMINISTRATOR)
(919) 390-4429
Entity
Organization
Contact information
Practice address
313 W SYCAMORE ST, ZEBULON, NC 27597-2530
(919) 569-9566
(919) 569-0269
Mailing address
313 W SYCAMORE ST, ZEBULON, NC 27597-2530
(919) 569-9566
(919) 569-0269
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
MHL-092-742
NC
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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