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Organization
TAR HEEL HUMAN SERVICES, INC.
Active
Organization
TAR HEEL HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BRUCE JONES (PRESIDENT)
(910) 298-6207
Entity
Organization
Contact information
Practice address
191 NORTH NC HWY. 41, BEULAVILLE, NC 28518
(910) 298-6207
(910) 298-6293
Mailing address
PO BOX 1321, BEULAVILLE, NC 28518-1321
(910) 298-6207
(910) 298-6293
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017ER
BCBS
NC
05
—
7211568
—
NC
Enumeration date
05/18/2006
Last updated
08/22/2020
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