ILLUMINATED DIRECTION

DURHAM, NC
NPI1609286145
Entity TypeOrganization
Authorized ContactJONATHAN DALANDISH LACEWELL
Owner
919-452-7931
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2014-05-06
Last Update Date2014-05-06
Business Address
ILLUMINATED DIRECTION
800 N MANGUM ST STE 104
DURHAM, NC 27701-2260
Phone number: 919-450-6446
Mailing Address
ILLUMINATED DIRECTION
2628 CAMELLIA DR APT C
DURHAM, NC 27705-2054
Phone number: 919-452-7931