Organization
LIFE BASED CONCEPTIONS LLC
Active
Other names
LBC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD GILES CARTER MHQP (EXECUTIVE DIRECTOR)
(919) 403-6160
Entity
Organization
Contact information
Practice address
1415 W NC HWY, STE 209, DURHAM, NC 27707-5578
(919) 403-6160
(919) 640-8810
Mailing address
1415 W NC HIGHWAY 54, STE 209, DURHAM, NC 27707-5577
(919) 403-6160
(919) 640-8810
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NC
Other
Enumeration date
04/25/2008
Last updated
06/08/2009
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