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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
302 NORTH MAIN STREET, SUITE 2, KENANSVILLE, NC 28349-9019
(910) 916-3929
Mailing address
PO BOX 1576, ROSEBORO, NC 28382-1576
(910) 916-3929

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
89127KP
NC
251B00000X
Case Management Agency
Primary
8301208B
NC
251S00000X
Community/Behavioral Health Agency
8301208B
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8301208B
NC
Enumeration date
01/23/2007
Last updated
04/28/2010
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