| Southeastern United Care Llc | |
|
4902 Main St Unit Bc Shallotte NC 28459-1585 | |
| (910) 755-5222 | |
| (910) 755-5255 |
| Full Name | Southeastern United Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4902 Main St, Shallotte, North Carolina |
| Authorized Official Name and Position | Stacy Locklear (DIRECTOR) |
| Authorized Official Contact | 9107555222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern United Care Llc Po Box 1585 Shallotte NC 28459-1585 Ph: (910) 755-5222 | Southeastern United Care Llc 4902 Main St Unit Bc Shallotte NC 28459-1585 Ph: (910) 755-5222 |
| NPI Number | 1457689820 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 11/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457689820 | NPI | - | NPPES |
| 8302756 | Medicaid | NC | |
| 8302756B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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