Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA L MIMS
Active Sole ProprietorLISA L MIMS is a Custodial Care Facility healthcare provider located in FUQUAY VARINA, North Carolina. NPI 1750019725 is currently active in the NPPES registry. Verify at CMS.
Custodial Care Facility · FUQUAY VARINA, NC
Registration Details
- NPI Number
- 1750019725
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2022 (4.0227494452834 yrs)
- Last Updated
- Aug 9, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
504 BURTON STFUQUAY VARINA, NC, 275261608Browse NC providers · Browse ZIP 27526
- Phone
- 9197538042
- Fax
- 9197627621
- Primary Specialty
-
Custodial Care Facility
311Z00000X
- Additional Specialty
- Custodial Care Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.