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Organization
SOUTHEASTERN UNITED CARE,LLC
Active
Organization
SOUTHEASTERN UNITED CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRUS LOCKLEAR (OWNER)
(910) 521-9557
Entity
Organization
Contact information
Practice address
30 DRAKES BRANCH DRIVE, PEMBROKE, NC 28372-7325
(910) 521-9557
(910) 521-0077
Mailing address
PO BOX 159, PEMBROKE, NC 28372-0159
(910) 521-9557
(910) 521-0077
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006401
—
NC
Enumeration date
03/17/2009
Last updated
03/17/2009
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