Organization
SOUTHEASTERN UNITED CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRUS LOCKLEAR (OWNER)
(910) 521-9557
Entity
Organization
Contact information
Practice address
30 DRAKE'S BRANCH DRIVE, PEMBROKE, NC 28372-7325
(910) 521-9557
(910) 521-0077
Mailing address
P.O. BOX 159, PEMBROKE, NC 28372-0159
(910) 521-9557
(910) 521-0077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2923
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408256
—
NC
Enumeration date
02/24/2009
Last updated
02/24/2009
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