Organization
CAROBELL, INC.
Active
Other names
Queen's Pond
Organization subpart
No
Provider details
NPI number
Authorized official
SEBRINA L PHILLIPS MA (FACILITY ADMINISTRATOR)
(919) 436-4001
Entity
Organization
Contact information
Practice address
561 QUEEN'S CREEK ROAD, HUBERT, NC 28539
(910) 326-7600
(910) 326-9988
Mailing address
561 QUEEN'S CREEK RD., HUBERT, NC 28539
(910) 326-7600
(910) 326-9988
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406496
—
NC
Enumeration date
01/23/2007
Last updated
04/21/2022
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