For Life Wellness,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3967 Issued in NC

Legal business name

FOR LIFE WELLNESS,LLC

Practice address

2423 Hwy 401 Business
Raeford, NC 28376-5778

Phone

(910) 904-0297

Fax

(910) 904-0296

NPI assigned

Dec 14, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Akilia Holliday Slocumb

Title

Director

Phone

(910) 904-0297

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1982933388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1867",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763867",
            "telephone_number": "910-904-0297",
            "fax_number": "910-904-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 HWY 401 BUSINESS",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283765778",
            "telephone_number": "910-904-0297",
            "fax_number": "910-904-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR LIFE WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "SLOCUMB",
        "authorized_official_first_name": "AKILIA",
        "authorized_official_middle_name": "HOLLIDAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-904-0297",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Raeford, NC
• Providers in Raeford, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.