Whalio Doctors

NPI 1386198877

Illumination Foundation of North Carolina

Organisation Voluntary or Charitable Agency Matthews, NC

Practice location

Address
2540 Annecy Dr, Matthews, NC 28105-2323
Phone
(980) 239-8374

Authorised official

Name
Charlotte K Moore
Title
Cheif Executive Officer
Phone
(980) 239-8374

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence C201601100142-I (NC)

Registry record

NPI
1386198877
Entity type
Organization
NPI issued
12 Aug 2016
Record last updated
12 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.