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Individual

MRS. HELEN D FLUDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
123 HENDERSON DR, JACKSONVILLE, NC 28540-5601
(910) 939-4663
(910) 939-5079
Mailing address
PO BOX 752, JACKSONVILLE, NC 28541-0752
(910) 939-4663
(910) 939-5079

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
253J00000X
Foster Care Agency

Other

Enumeration date
01/30/2015
Last updated
04/25/2017
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