Organization
LUXE LEVEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSTOVIANT WRIGHTEN (MANAGER)
(919) 264-2253
Entity
Organization
Contact information
Practice address
455 RAST ST, SUMTER, SC 29150-2579
(919) 264-2253
Mailing address
4000 HERITAGE VIEW TRL, WAKE FOREST, NC 27587-8367
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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