Green Life Enhancement Services
NPI #1588275432 in Knightdale, North Carolina
Provider Information
- NPI Number
- 1588275432
- Entity Type
- Organization
- Organization Name
- Green Life Enhancement Services
- Primary Specialty
- Case Management
- Enumeration Date
- Aug 13, 2020
- Last Updated
- Aug 13, 2020
Practice Location
- Address
- 1220 ARAGON DR APT 101
- City
- Knightdale
- State
- North Carolina
- ZIP Code
- 27545-6027
- Phone
- (984) 664-2437
Authorized Official
- Name
- PORSCHA NICOLE GREEN, QP
- Title
- OWNER/CEO
- Phone
- (984) 664-2437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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