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2407 Ephesus Church Rd Semora NC 27343-9178 | |
(919) 479-6600 | |
(919) 479-1010 |
Full Name | |
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Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
Location | 2407 Ephesus Church Rd, Semora, North Carolina |
Authorized Official Name and Position | Robert Earl Jones (DIRECTOR) |
Authorized Official Contact | 9194796600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2407 Ephesus Church Rd Semora NC 27343-9178 Ph: (919) 479-6600 | 2407 Ephesus Church Rd Semora NC 27343-9178 Ph: (919) 479-6600 |
NPI Number | 1134534803 |
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Provider Enumeration Date | 06/21/2014 |
Last Update Date | 06/21/2014 |
Identifier | Type | State | Issuer |
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1134534803 | NPI | - | NPPES |