Organization
NEW LIFE COMMUNITY SUPPORTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AVA MOORE-DANIELS (QP-CEO)
(252) 332-2816
Entity
Organization
Contact information
Practice address
117 N RAILROAD STREET, AHOSKIE, NC 27910
(252) 332-2816
(252) 332-4189
Mailing address
117 N RAILROAD STREET, PO BOX 148, AHOSKIE, NC 27910
(252) 332-2816
(252) 332-4189
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NC
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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