Organization
HIS WILL WORLDWIDE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA MICHELLE REID (ADMINISTRATOR)
(919) 961-7368
Entity
Organization
Contact information
Practice address
4114 JAMES RD, RALEIGH, NC 27604-4903
(919) 961-7368
(919) 457-1450
Mailing address
4114 JAMES RD, RALEIGH, NC 27604-4903
(919) 961-7368
(919) 457-1450
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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