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Organization
PROPHET'S HOUSE LLC
Active
Organization
PROPHET'S HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCKEA BENSTON (OWNER)
(252) 227-3036
Entity
Organization
Contact information
Practice address
7917 MAIN STREET, VANCEBORO, NC 28586
(252) 244-0040
Mailing address
PO BOX 3050, GREENVILLE, NC 27836-1050
(252) 227-3036
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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