Southeastern Adult Day Center | |
2046 New Bern Ave Raleigh NC 27610 | |
(919) 250-3630 | |
(919) 250-3631 |
Full Name | Southeastern Adult Day Center |
---|---|
Speciality | Community/behavioral Health |
Location | 2046 New Bern Ave, Raleigh, North Carolina |
Authorized Official Name and Position | Evelyn Sanders (PRESIDENT) |
Authorized Official Contact | 9192503630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southeastern Adult Day Center Po Box 46775 Raleigh NC 27620-6775 Ph: (919) 250-3630 | Southeastern Adult Day Center 2046 New Bern Ave Raleigh NC 27610 Ph: (919) 250-3630 |
NPI Number | 1447456793 |
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Provider Enumeration Date | 06/25/2007 |
Last Update Date | 07/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447456793 | NPI | - | NPPES |
8301428B | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 8301428P (North Carolina) | Primary |
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