Organization
LIFE ENHANCEMENT SERVICES
Active
Organization
LIFE ENHANCEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERB GRAY (CEO)
(919) 956-7176
Entity
Organization
Contact information
Practice address
339 WALL ST, YANCEYVILLE, NC 27379-9382
(336) 694-4333
(919) 882-9488
Mailing address
411 W CHAPEL HILL ST, SUITE 902, DURHAM, NC 27701-3616
(919) 956-7176
(919) 682-2339
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NC
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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