Whalio Doctors

NPI 1447485396

Lift Day Activity Center

Organisation PACE Provider Organization Rolesville, NC

Practice location

Address
701 E Young Street, Rolesville, NC 27571
Phone
(919) 569-9566
Fax
(919) 569-0269
Mailing address
PO Box 1383, Wendell, NC 27591-1383

Authorised official

Name
Brendex Renea Meeks
Title
Office Administrator
Phone
(919) 569-9566

Registered specialties

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

Registry record

NPI
1447485396
Entity type
Organization
NPI issued
21 May 2009
Record last updated
21 May 2009

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.