| Pride In North Carolina, Llc | |
|
5710 Oleander Drive Suite 208 Wilmington NC 28403-4722 | |
| (910) 452-1460 | |
| (910) 397-0821 |
| Full Name | Pride In North Carolina, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5710 Oleander Drive, Wilmington, North Carolina |
| Authorized Official Name and Position | Jason Rutski (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 9104521460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride In North Carolina, Llc 231 Commerce St Greenville NC 27858-5029 Ph: (252) 321-8080 | Pride In North Carolina, Llc 5710 Oleander Drive Suite 208 Wilmington NC 28403-4722 Ph: (910) 452-1460 |
| NPI Number | 1144368804 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 10/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144368804 | NPI | - | NPPES |
| 8300244 | Medicaid | NC | |
| 8300244G | Medicaid | NC | |
| 8300244B | Medicaid | NC |
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