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Organization

LIFEQUEST, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA C HARDISON (DIRECTOR)
(252) 975-8080
Entity
Organization

Contact information

Practice address
230 E 8TH ST, WASHINGTON, NC 27889-4526
(252) 975-8080
(252) 975-8055
Mailing address
230 E 8TH ST, WASHINGTON, NC 27889-4526
(252) 975-8080
(252) 975-8055

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MHL-007-038
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8300757
NC
05
8300757S
NC
Enumeration date
12/28/2006
Last updated
11/26/2007
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