Roll'n 2 Success

NPI 1104155845 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1104155845
Enumeration Date 12/08/2009
Last Updated 12/08/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name EDWARD GARRY EDWARD
Position OWNER
Phone (919) 824-9506
Fax
Practice Location
106 JACKSON ST NE
A
WILSON NC, 27893-3810, US
Phone (919) 824-9506
Fax
Business Location
1621 BEACON VILLAGE DR
RALEIGH NC, 27604-8505, US
Phone (919) 824-9506
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Roll'n 2 Success NPI is 1104155845, taxonomy code is 251S00000X Roll'n 2 Success physically located at 106 Jackson St Ne, Wilson NC, 27893-3810. NPI Number 1033115704 has the healthcare provider type.

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1104155845 NPI number is provided on an as is basis without warranty of any kind. 1104155845 is maintained by the National Plan & Provider Enumeration System. The contents of Roll'n 2 Success are for informational purposes only.