| NPI | 1922938257 |
|---|---|
| Doing Business As | LASTING IMPRESSIONS COMMUNITY SERVICES |
| Entity Type | Organization |
| Authorized Contact | NICOLE PEGUESE CRUMPTON Owner 336-848-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2026-05-20 |
| Last Update Date | 2026-05-20 |