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Organization
NEXXUS FAMILY CARE SERVICES
Active
Organization
NEXXUS FAMILY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEVON ANTONIO CARPENTER (DIRECTOR OF OPERATIONS)
(336) 788-7929
Entity
Organization
Contact information
Practice address
2175 MARY DEE LN, WINSTON SALEM, NC 27127-7587
(336) 788-7929
(336) 788-7998
Mailing address
PO BOX 20394, WINSTON SALEM, NC 27120-0394
(336) 788-7929
(336) 788-7998
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418094
—
NC
Enumeration date
03/11/2007
Last updated
07/30/2008
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