Organization
LIFESTYLE ENRICHMENT HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMETRI HILL (OWNER)
(910) 853-5480
Entity
Organization
Contact information
Practice address
2529 RAEFORD RD STE C6, FAYETTEVILLE, NC 28305-5098
(910) 853-5480
Mailing address
2529 RAEFORD RD STE C6, FAYETTEVILLE, NC 28305-5098
(910) 853-5480
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
HC3429
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC3429
—
NC
Enumeration date
07/20/2016
Last updated
07/20/2016
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