Organization
FOR LIFE WELLNESS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AKILIA HOLLIDAY SLOCUMB (DIRECTOR)
(910) 904-0297
Entity
Organization
Contact information
Practice address
2423 HWY 401 BUSINESS, RAEFORD, NC 28376-5778
(910) 904-0297
(910) 904-0296
Mailing address
PO BOX 1867, RAEFORD, NC 28376-3867
(910) 904-0297
(910) 904-0296
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3967
NC
Other
Enumeration date
12/14/2009
Last updated
12/17/2009
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