Organization
CAROLINA COMPLETE REHAB CENTER OF HOPE MILLS INC
Active
Organization
CAROLINA COMPLETE REHAB CENTER OF HOPE MILLS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY N LAURELES (PRESIDENT)
(910) 429-0600
Entity
Organization
Contact information
Practice address
4251 LEGION RD, STE 107, HOPE MILLS, NC 28348-6201
(910) 429-0600
(910) 429-0602
Mailing address
4251 LEGION RD STE 107, P.O. BOX 408, HOPE MILLS, NC 28348-6200
(910) 429-0600
(910) 429-0602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012EW
BCBS
NC
01
—
015UT
BCBS
NC
05
—
7211284
—
NC
05
—
7211570
—
NC
Enumeration date
05/10/2006
Last updated
03/12/2009
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