Organization
SMITH'S LANDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN SMITH (CEO/OWNER)
(252) 456-2481
Entity
Organization
Contact information
Practice address
1508 THEO ROBERTSON RD., MACON, NC 27551
(252) 456-2481
Mailing address
PO BOX 476, NORLINA, NC 27563-0476
(252) 456-2481
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL093026
NC
Other
Enumeration date
08/14/2007
Last updated
08/21/2007
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