Organization
LEILANI INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAL YVONNE WARD (PRESIDENT)
(910) 587-1875
Entity
Organization
Contact information
Practice address
5826 WALLACE DR, HOPE MILLS, NC 28348-2236
(910) 587-1875
Mailing address
5826 WALLACE DR, HOPE MILLS, NC 28348-2236
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
NC
Enumeration date
04/06/2011
Last updated
04/06/2011
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