Organization
ILLUMINATED DIRECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL MARTIN NOYES (CCO)
(919) 223-4571
Entity
Organization
Contact information
Practice address
221 N KANSAS ST STE 700, EL PASO, TX 79901-1443
(919) 285-1593
Mailing address
221 N KANSAS ST STE 700, EL PASO, TX 79901-1443
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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