Organization
A MOTHER'S PURSUIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE R. RUDOLPH-WALLS (OWNER)
(910) 758-1362
Entity
Organization
Contact information
Practice address
511 N REILLY RD STE A, FAYETTEVILLE, NC 28303-2440
(910) 758-1362
(910) 758-9679
Mailing address
690 N REILLY RD STE 3, FAYETTEVILLE, NC 28303-5734
(910) 758-1362
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
09/21/2018
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