Organization
LIFE RESOURCES OF NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TASHA R. GASKINS MSW,MPA (CEO)
(919) 896-8520
Entity
Organization
Contact information
Practice address
183 WIND CHIME CT, SUITE 100, RALEIGH, NC 27615-6461
(919) 896-8520
(919) 896-8534
Mailing address
183 WIND CHIME CT, SUITE 100, RALEIGH, NC 27615-6461
(919) 896-8520
(919) 896-8534
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
976161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518393586
—
NC
Enumeration date
12/06/2013
Last updated
03/26/2014
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