Provider Demographics
NPI:1386390102
Name:WAR FOR LIFE INC.
Entity type:Organization
Organization Name:WAR FOR LIFE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:DELOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-671-0031
Mailing Address - Street 1:312 S DRIVER ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-4264
Mailing Address - Country:US
Mailing Address - Phone:919-806-7071
Mailing Address - Fax:
Practice Address - Street 1:1100 N MIAMI BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-2478
Practice Address - Country:US
Practice Address - Phone:919-806-7071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No251K00000XAgenciesPublic Health or Welfare
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health