Support Care Llc | |
1402 Wayne Memorial Dr Goldsboro NC 27534-1858 | |
(919) 735-3311 | |
(919) 735-2999 |
Full Name | Support Care Llc |
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Speciality | Community/behavioral Health |
Location | 1402 Wayne Memorial Dr, Goldsboro, North Carolina |
Authorized Official Name and Position | Wilson E Tabe (PRESIDENT) |
Authorized Official Contact | 9197353311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Support Care Llc 1402 Wayne Memorial Dr Goldsboro NC 27534-2235 Ph: (919) 735-3311 | Support Care Llc 1402 Wayne Memorial Dr Goldsboro NC 27534-1858 Ph: (919) 735-3311 |
NPI Number | 1609064948 |
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Provider Enumeration Date | 10/11/2007 |
Last Update Date | 01/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609064948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 200101288 (North Carolina) | Primary |
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