Organization
LIFE PROVISIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA BELL-GASH (OWNER)
(704) 297-5202
Entity
Organization
Contact information
Practice address
111 CARRIAGE CT, SHELBY, NC 28150-8412
(704) 297-5202
Mailing address
111 CARRIAGE CT, SHELBY, NC 28150-8412
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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