Organization
SHARPER IMAGES OF FAYETTEVILLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY SHARP (CEO)
(910) 574-4716
Entity
Organization
Contact information
Practice address
303 WOODBERRY CIR, RAEFORD, NC 28376-9181
(910) 875-3146
(910) 484-1684
Mailing address
PO BOX 9005, FAYETTEVILLE, NC 28311-9079
(910) 484-1684
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL-047-086
NC
Other
Enumeration date
02/17/2007
Last updated
08/22/2020
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