Organization
SUCCESS FOR LIVING SUPPORT SERVICES,
Active
Other names
Success For Living Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE B CARTER (ADMINISTRATOR/CEO)
(252) 243-3290
Entity
Organization
Contact information
Practice address
806 S TARBORO ST, SUITE B-19, WILSON, NC 27893-3880
(252) 243-3290
(252) 243-3290
Mailing address
PO BOX 1351, ZEBULON, NC 27589-1351
(252) 243-3290
(252) 243-3290
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
HC2399
NC
251J00000X
Nursing Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
HC2399
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409617
—
NC
05
—
6601025
—
NC
05
—
6601760
—
NC
Enumeration date
03/27/2007
Last updated
04/09/2009
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