Southeastern United Care, Llc | |
306 Beaman St. Clinton NC 28328-2908 | |
(910) 521-9557 | |
(910) 521-0077 |
Full Name | Southeastern United Care, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 306 Beaman St., Clinton, North Carolina |
Authorized Official Name and Position | Demetrus Locklear (OWNER) |
Authorized Official Contact | 9105219557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southeastern United Care, Llc Po Box 159 Pembroke NC 28372-0159 Ph: (910) 521-9557 | Southeastern United Care, Llc 306 Beaman St. Clinton NC 28328-2908 Ph: (910) 521-9557 |
NPI Number | 1780825042 |
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Provider Enumeration Date | 03/17/2009 |
Last Update Date | 03/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780825042 | NPI | - | NPPES |
6006398 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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