Guiding Light Inc | |
1205 N Pine St Lumberton NC 28358-4711 | |
(910) 738-4095 | |
Not Available |
Full Name | Guiding Light Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 1205 N Pine St, Lumberton, North Carolina |
Authorized Official Name and Position | Shelvin Aundra Rice (DIRECTOR) |
Authorized Official Contact | 7043611999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Guiding Light Inc Po Box 42308 Charlotte NC 28215-0006 Ph: (704) 361-1999 | Guiding Light Inc 1205 N Pine St Lumberton NC 28358-4711 Ph: (910) 738-4095 |
NPI Number | 1811039720 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 08/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811039720 | NPI | - | NPPES |
8301608G | Medicaid | NC | |
8301608B | Medicaid | NC | |
8301608 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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