Organization
LIFE ENHANCEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERB GRAY (CEO)
(910) 738-4000
Entity
Organization
Contact information
Practice address
201 E PITT ST, SUITE 102, TARBORO, NC 27886-5192
(919) 395-4718
(919) 882-9488
Mailing address
401 E 11TH ST, LUMBERTON, NC 28358-4807
(910) 738-4000
(910) 738-4067
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NC
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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