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Organization
PLACE OF PURPOSE
Active
Organization
PLACE OF PURPOSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDANCE H MEBANE RN (CEO)
(252) 395-0631
Entity
Organization
Contact information
Practice address
109 DR MLK JR DR N, AHOSKIE, NC 27910-7612
(252) 395-0631
Mailing address
150 CHOANOKE INDIAN TRL, WINTON, NC 27986-9512
(252) 395-0631
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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