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Organization
SCOBROBERTS
Active
Organization
SCOBROBERTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYANT R SCOTT (OWNER)
(980) 267-4984
Entity
Organization
Contact information
Practice address
3769 ADAM LAWRENCE WAY, SHERRILLS FORD, NC 28673-7317
(980) 267-4984
Mailing address
3769 ADAM LAWRENCE WAY, SHERRILLS FORD, NC 28673-7317
(980) 267-4984
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
311ZA0620X
Adult Care Home Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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