Organization
PENDER COUNTY DEPT OF SOCIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RETA M SHIVER D.P.A. (DIRECTOR)
(910) 259-1240
Entity
Organization
Contact information
Practice address
810 S WALKER ST, BURGAW, NC 28425-5000
(910) 259-1240
(910) 259-1418
Mailing address
810 S WALKER ST, BURGAW, NC 28425-5000
(910) 259-1240
(910) 259-1418
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
HC0694
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700042
—
NC
Enumeration date
07/16/2007
Last updated
07/16/2007
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