Organization
MID-CAROLINA COUNCIL OF GOVERNMENTS
Active
Other names
Mid-Carolina Regional Council
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA L. WULLENWABER (EXECUTIVE DIRECTOR)
(910) 536-3552
Entity
Organization
Contact information
Practice address
6205 RAEFORD ROAD, FAYETTEVILLE, NC 28304-2425
(910) 323-4191
(910) 323-9330
Mailing address
6205 RAEFORD ROAD, FAYETTEVILLE, NC 28304-2425
(910) 323-4191
(910) 323-9330
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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