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Organization

HOPE SERVICE OF NORTH CAROLINA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY BLACKWELL JR. (MANAGER)
(336) 615-7448
Entity
Organization

Contact information

Practice address
5500 FORTUNES RIDGE DR, APT 74B, DURHAM, NC 27713-9365
(336) 615-7448
Mailing address
5500 FORTUNES RIDGE DR, APT 74B, DURHAM, NC 27713-9365

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/23/2011
Last updated
06/23/2011
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