Organization
CARIBBEAN PALACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAL GREGORY FULTON MS (OWNER)
(252) 645-9193
Entity
Organization
Contact information
Practice address
101 N MARKET ST # C100, BENSON, NC 27504-1514
(252) 645-9193
Mailing address
101 N MARKET ST # C100, BENSON, NC 27504-1514
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
07/17/2026
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