Organization
ENHACING SPIRITS HOMECARE AGENCY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MARIE JACOBS RN (AGENCY DIRECTOR)
(910) 671-8128
Entity
Organization
Contact information
Practice address
801 W 5TH ST, LUMBERTON, NC 28358-5413
(910) 671-8128
(910) 671-8130
Mailing address
801 W 5TH ST, LUMBERTON, NC 28358-5413
(910) 671-8128
(910) 671-8130
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
HC3521
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601625
—
NC
Enumeration date
03/23/2007
Last updated
11/15/2007
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