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Organization

EVA LEWIS WASHINGTON ET AL PTR

Active
Other names
Successful Transitions LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EVA LEWIS WASHINGTON M. ED (DIRECTOR)
(336) 312-7761
Entity
Organization

Contact information

Practice address
301 N ELM ST, SUITE 510, GREENSBORO, NC 27401-2083
(336) 275-7973
(336) 272-1325
Mailing address
8300 CHARTWELL DR, OAK RIDGE, NC 27310-9814
(336) 275-7973
(336) 272-1325

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
MHL041818
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6006886
NC
05
8301990
NC
05
8301990H
NC
Enumeration date
05/13/2009
Last updated
03/02/2010
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