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Organization
SOUTHERN CROSS COMMUNITY SERVICE INC.
Active
Organization
SOUTHERN CROSS COMMUNITY SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DALE HUDSON (OWNER)
(910) 659-2007
Entity
Organization
Contact information
Practice address
1148 NORTH MAIN STREET, FUQUAY VARINA, NC 27526-7592
(910) 557-9966
(910) 653-5222
Mailing address
PO BOX 656, TABOR CITY, NC 28463-0656
(910) 653-2007
(910) 653-5222
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NC
251E00000X
Home Health Agency
—
NC
251K00000X
Public Health or Welfare Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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