# SOUTHEASTERN HOME HEALTH CARE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255521159
- **Authorized official:** DIANE SURGEON (PRESIDENT)
- **Authorized official phone:** (910) 878-0121

## Contact information

- **Practice address:** 1892 TURNPIKE ROAD, RAEFORD, NC 28376-9998
- **Practice address phone:** (910) 878-0121
- **Mailing address:** 401 E 11TH ST, LUMBERTON, NC 28358-4807
- **Mailing address phone:** (910) 878-0121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 07/26/2007