| Southeastern United Care, Llc | |
|
30 Drakes Branch Dr. Pembroke NC 28372-7325 | |
| (910) 521-9557 | |
| (910) 521-0077 |
| Full Name | Southeastern United Care, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 30 Drakes Branch Dr., Pembroke, 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 P.o. Box 159 Pembroke NC 28372-0159 Ph: (910) 521-9557 | Southeastern United Care, Llc 30 Drakes Branch Dr. Pembroke NC 28372-7325 Ph: (910) 521-9557 |
| NPI Number | 1376784215 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 03/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376784215 | NPI | - | NPPES |
| 5950144 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Southeastern United Care,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Drakes Branch Drive, Pembroke, NC 28372 Phone: 910-521-9557 Fax: 910-521-0077 | |
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