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Organization
SOUTHEASTERN ADULT DAY CENTER
Active
Organization
SOUTHEASTERN ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN SANDERS (PRESIDENT)
(919) 250-3630
Entity
Organization
Contact information
Practice address
2046 NEW BERN AVE, RALEIGH, NC 27610
(919) 250-3630
(919) 250-3631
Mailing address
PO BOX 46775, RALEIGH, NC 27620-6775
(919) 250-3630
(919) 250-3631
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
8301428P
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301428B
—
NC
Enumeration date
06/25/2007
Last updated
07/11/2007
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