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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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