Organization
SOUTHEASTERN HOME HEALTH CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE SURGEON (PRESIDENT)
(910) 878-0121
Entity
Organization
Contact information
Practice address
1892 TURNPIKE ROAD, RAEFORD, NC 28376-9998
(910) 878-0121
Mailing address
401 E 11TH ST, LUMBERTON, NC 28358-4807
(910) 878-0121
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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