Organization
COUNTY OF LEE NORTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN N BLEWS (ADULT SERVICES SUPERVISOR)
(919) 718-4690
Entity
Organization
Contact information
Practice address
530 CARTHAGE ST, SANFORD, NC 27330-4105
(919) 718-4690
(919) 718-4634
Mailing address
PO BOX 1066, SANFORD, NC 27331-1066
(919) 718-4690
(919) 718-4634
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408065
—
NC
Enumeration date
11/12/2009
Last updated
04/17/2023
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