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Organization
WORD OF LIFE OUTREACH OF CAPE FEAR, INC.
Active
Organization
WORD OF LIFE OUTREACH OF CAPE FEAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY A JOHNSON BA (CEO)
(910) 547-8792
Entity
Organization
Contact information
Practice address
10225 BLACKWELL RD SE, LELAND, NC 28451-8515
(910) 371-5300
(910) 371-5302
Mailing address
PO BOX 717, LELAND, NC 28451-0717
(910) 371-5300
(910) 371-5302
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301346H
—
NC
Enumeration date
06/05/2009
Last updated
06/05/2009
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