Organization
SAMARA'S VILLAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRINE ANN WHITE (EXECUTIVE DIRECTOR)
(910) 294-0292
Entity
Organization
Contact information
Practice address
5098 CAPSTAN CT, SOUTHPORT, NC 28461-2203
(910) 294-0292
Mailing address
5098 CAPSTAN CT, SOUTHPORT, NC 28461-2203
(910) 294-0292
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
01/10/2016
Last updated
01/10/2016
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