Organization
SIEBO COMPASSIONATE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL DOTY SIEBO DOCTOR OF MINISTRY (CHIEF EXECUTIVE OFFICER)
(803) 497-2893
Entity
Organization
Contact information
Practice address
4620 STORM CAT LN, HOPE MILLS, NC 28348-8098
(803) 497-2893
Mailing address
4620 STORM CAT LN, HOPE MILLS, NC 28348-8098
(803) 497-2893
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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