Organization
EASTERN ILLUSIONS INC
Active
Other names
Eastern Illusions inc
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE SMITH (PRESIDENT)
(252) 229-7577
Entity
Organization
Contact information
Practice address
204 HICKORY BRANCHES CLOSE, WINTERVILLE, NC 28590-9210
(252) 229-7577
(252) 408-6582
Mailing address
204 HICKORY BRANCHES CLOSE, WINTERVILLE, NC 28590-9210
(252) 229-7577
(252) 408-6582
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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