Organization
ENSPIRE RESIDENTIAL LIVING CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA BULLOCK-BLOUNT LPN (CEO)
(252) 347-5209
Entity
Organization
Contact information
Practice address
500 CONTENTNEA ST, GREENVILLE, NC 27834-3122
(252) 481-2822
Mailing address
5215 STANTONSBURG RD, GREENVILLE, NC 27834-7075
(252) 481-2282
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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