1ST NATIONAL ROCK OF AGES CATHEDRAL
Ambulatory Health at Albemarle Ave, Rocky Mount, NC

License number
North Carolina HC3277
Category
Ambulatory Health
Type
Health Service
Owner
Name: MR. JIMMY LEE WILLIAMS SR.
Title: PRESIDENT
Phone: (252) 452-9711
Address
Address
430 Albemarle Ave, Rocky Mount, NC 27801
National Provider ID: 1154476315
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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1st National Rock of Ages Cathedral

Rocky Mount, NC

Registration:
May 10, 1994
Addresses:
430 Albemarle Ave, Rocky Mount, NC 27801 (Physical)
PO Box 6997, Rocky Mount, NC 27801 (Mailing)
State ID:
0344367
Agent:
Jimmy Lee Williams

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