Organization
BENEVELONT CHRISTIAN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED TITUS SHULER PEER SUPPORT SPECIAL (CHIEF OPERATING OFFICER)
(910) 352-1695
Entity
Organization
Contact information
Practice address
448 RACINE DR APT 209, WILMINGTON, NC 28403-8786
(910) 352-1695
Mailing address
448 RACINE DR., SUITE 209, WILMINGTON, NC 28403
(910) 352-1695
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C634
NC
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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