Organization
DAY SPRING WHOLE LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL LEVONNE LEWIS LICENSE AFL (SUPERVISED LIVING)
(252) 917-0268
Entity
Organization
Contact information
Practice address
3145 PACOLET DR, GREENVILLE, NC 27834-6040
(252) 917-0268
Mailing address
3145 PACOLET DR, GREENVILLE, NC 27834-6040
(252) 917-0268
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
MHL074249
NC
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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