Individual
MRS. MATRESSE LANITE MCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2665 CHADBOURN HWY, WHITEVILLE, NC 28472-2018
(910) 918-5501
Mailing address
2665 CHADBOURN HWY, WHITEVILLE, NC 28472-2018
(910) 918-5501
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/29/2011
Last updated
09/22/2011
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