| Hope In The Carolina, Llc | |
|
302 North Main Street Kenansville NC 28349-9091 | |
| (910) 916-3929 | |
| Not Available |
| Full Name | Hope In The Carolina, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 302 North Main Street, Kenansville, North Carolina |
| Authorized Official Name and Position | Shelton Parker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9109163929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope In The Carolina, Llc Po Box 1576 Roseboro NC 28382-1576 Ph: () - | Hope In The Carolina, Llc 302 North Main Street Kenansville NC 28349-9091 Ph: (910) 916-3929 |
| NPI Number | 1427375005 |
|---|---|
| Provider Enumeration Date | 04/22/2010 |
| Last Update Date | 04/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427375005 | NPI | - | NPPES |
| 8301208 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 89127KP (North Carolina) | Primary |
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