Organization
LUMINOUS ENTERPRISES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E. WOFFORD D. MIN. (OWNER)
(828) 859-2780
Entity
Organization
Contact information
Practice address
20 JERVEY RD, SUITE 102, TRYON, NC 28782-0017
(828) 859-2780
(828) 859-3057
Mailing address
20 JERVEY RD, SUITE 102, TRYON, NC 28782-0017
(828) 859-2780
(828) 859-3057
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409386
—
NC
Enumeration date
08/06/2006
Last updated
08/22/2020
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