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Organization
SUSIE'S PLACE FOR COMMUNITY SUPPORT
Active
Organization
SUSIE'S PLACE FOR COMMUNITY SUPPORT
Active
Other names
T & C Property Management
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENZO MOORE (MANAGING EMPLOYEE)
(336) 380-0772
Entity
Organization
Contact information
Practice address
1101 S FIFTH ST, MEBANE, NC 27302-9182
(336) 380-0772
(336) 270-6303
Mailing address
PO BOX 5144, BURLINGTON, NC 27216-5144
(336) 380-0772
(336) 270-6303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3747P1801X
NC
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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