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Organization
SOUTHEASTERN HEALTHCARE OF NORTH CAROLINA, INC.
Active
Organization
SOUTHEASTERN HEALTHCARE OF NORTH CAROLINA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN SANDERS LCSW (EXECUTIVE DIRECTOR)
(919) 987-2791
Entity
Organization
Contact information
Practice address
3401 CARL SANDBURG CT, RALEIGH, NC 27610-2049
(919) 212-8580
(919) 212-8581
Mailing address
PO BOX 14144, RALEIGH, NC 27620-4144
(919) 212-8580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
MHL-092-746
NC
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303214
—
NC
Enumeration date
01/16/2007
Last updated
08/26/2022
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