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Organization
HOPE IN THE CAROLINA, L.L.C.
Active
Organization
HOPE IN THE CAROLINA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELTON JAMES PARKER (EXECUTIVE DIRECTOR)
(910) 916-3929
Entity
Organization
Contact information
Practice address
206 NORTH EAST STREET, ROSEBORO, NC 28382-5233
(910) 916-3929
(910) 296-6246
Mailing address
PO BOX 1576, ROSEBORO, NC 28382-1576
(910) 916-3929
(910) 296-6246
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-082-048
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6604007
—
NC
Enumeration date
10/25/2006
Last updated
07/26/2010
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