| NPI Details | |
|---|---|
| NPI | 1073600284 |
| Enumeration Date | 10/08/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | BETTY JEAN BETTY |
| Position | EXECUTIVE DIRECTOR/CASE MANAGER |
| Phone | (910) 323-8116 |
| Fax | (910) 323-8116 |
| Practice Location | |
|---|---|
| 3115 BORDEAUX PARK DR FAYETTEVILLE NC, 28306-2894, US |
|
| Phone | (910) 323-8116 |
| Fax | (910) 323-8116 |
| Business Location | |
|---|---|
| 5194 REMINGTON RD FAYETTEVILLE NC, 28311-1254, US |
|
| Phone | (910) 429-0482 |
| Fax | (910) 429-0482 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 251B00000X |
| License State | |
| License Number | |
| Remove 1073600284 NPI Number | |
According to our database, Lit Candles Consumer Centered Services NPI is 1073600284, taxonomy code is 251B00000X Lit Candles Consumer Centered Services physically located at 3115 Bordeaux Park Dr, Fayetteville NC, 28306-2894. NPI Number 1033115704 has the healthcare provider type.
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1073600284 NPI number is provided on an as is basis without warranty of any kind. 1073600284 is maintained by the National Plan & Provider Enumeration System. The contents of Lit Candles Consumer Centered Services are for informational purposes only.
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