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Organization

LIFEQUEST DISABILITIES SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANE BAGGETT WILLIAMS BA,QP (OWNER)
(910) 389-0901
Entity
Organization

Contact information

Practice address
199 COUNTRY CLUB BLVD, JACKSONVILLE, NC 28540-9376
(910) 389-0901
(910) 430-4153
Mailing address
325 BANNERMANS MILL RD, RICHLANDS, NC 28574-8105
(910) 389-0901

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
NC

Other

Enumeration date
11/02/2010
Last updated
11/02/2010
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