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Organization
SOUTHEASTERN UNITED CARE LLC
Active
Organization
SOUTHEASTERN UNITED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRUS LOCKLEAR BA (AGENCY DIRECTOR)
(910) 521-9557
Entity
Organization
Contact information
Practice address
30 DRAKES BRANCH DRIVE, PEMBROKE, NC 28372-7325
(910) 521-9557
(910) 521-0077
Mailing address
PO BOX 159, PEMBROKE, NC 28372-0159
(910) 521-9557
(910) 521-0077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC 2923
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408256
—
NC
05
—
6006401
—
NC
05
—
6601239
—
NC
05
—
8301697
—
NC
05
—
8301697B
—
NC
05
—
8301697G
—
NC
Enumeration date
09/15/2005
Last updated
06/23/2008
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