| Word Of Life Outreach Of Cape Fear, Inc. | |
|
10225 Blackwell Rd Se Leland NC 28451-8515 | |
| (910) 371-5300 | |
| (910) 371-5302 |
| Full Name | Word Of Life Outreach Of Cape Fear, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10225 Blackwell Rd Se, Leland, North Carolina |
| Authorized Official Name and Position | Jeffery A Johnson (CEO) |
| Authorized Official Contact | 9105478792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Word Of Life Outreach Of Cape Fear, Inc. Po Box 717 Leland NC 28451-0717 Ph: (910) 371-5300 | Word Of Life Outreach Of Cape Fear, Inc. 10225 Blackwell Rd Se Leland NC 28451-8515 Ph: (910) 371-5300 |
| NPI Number | 1003042904 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 06/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003042904 | NPI | - | NPPES |
| 8301346H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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