Whalio Doctors

NPI 1407276710

Liftday Activity Center

Organisation PACE Provider Organization Zebulon, NC

Practice location

Address
313 W Sycamore St, Zebulon, NC 27597-2530
Phone
(919) 569-9566
Fax
(919) 569-0269

Authorised official

Name
Brendex Renea Meeks
Title
Office Administrator
Phone
(919) 390-4429

Registered specialties

PACE Provider Organization Primary
Agencies Taxonomy 251T00000X Licence MHL-092-742 (NC)

Registry record

NPI
1407276710
Entity type
Organization
NPI issued
25 Apr 2014
Record last updated
25 Apr 2014

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.