Individual
LIZZA M PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2420 LIRIOPE DRIVE, ROCKY MOUNT, NC 27801-6292
(252) 314-2530
Mailing address
2420 LIRIOPE DRIVE, ROCKY MOUNT, NC 27801-6292
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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