Organization
SOUTHEASTERN HOME HEALTH CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE SURGEON (PRESIDENT)
(910) 878-0121
Entity
Organization
Contact information
Practice address
1892 TURNPIKE ROAD, RAEFORD, NC 28376-9998
(910) 878-0121
Mailing address
401 E 11TH ST, LUMBERTON, NC 28358-4807
(910) 878-0121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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