Boys & Girls Homes Of Nc, Inc | |
104 E Old Highway 74 76 Lake Waccamaw NC 28450-2512 | |
(910) 646-3083 | |
(910) 356-0081 |
Full Name | Boys & Girls Homes Of Nc, Inc |
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Speciality | Foster Care Agency |
Location | 104 E Old Highway 74 76, Lake Waccamaw, North Carolina |
Authorized Official Name and Position | Ricky Creech (CEO) |
Authorized Official Contact | 9106463083 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boys & Girls Homes Of Nc, Inc Po Box 127 Lake Waccamaw NC 28450-0127 Ph: (910) 646-3083 | Boys & Girls Homes Of Nc, Inc 104 E Old Highway 74 76 Lake Waccamaw NC 28450-2512 Ph: (910) 646-3083 |
NPI Number | 1245542745 |
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Provider Enumeration Date | 07/13/2010 |
Last Update Date | 01/31/2022 |
Certification Date | 01/31/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245542745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | B00004 (North Carolina) | Secondary |
253J00000X | Foster Care Agency | B00004 (North Carolina) | Primary |
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