| Mary Rebecca Home, Incorporated | |
|
1200 W Iowa Ave Southern Pines NC 28387-4418 | |
| (910) 692-2894 | |
| (910) 482-3571 |
| Full Name | Mary Rebecca Home, Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1200 W Iowa Ave, Southern Pines, North Carolina |
| Authorized Official Name and Position | Annie R. Hasan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9104824453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Rebecca Home, Incorporated Po Box 9729 Fayetteville NC 28311-9091 Ph: (910) 692-2895 | Mary Rebecca Home, Incorporated 1200 W Iowa Ave Southern Pines NC 28387-4418 Ph: (910) 692-2894 |
| NPI Number | 1346472891 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346472891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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