Organization
VENTURE REHABILITATION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA FLYNT (OWNER)
(252) 412-1564
Entity
Organization
Contact information
Practice address
910 BREMERTON DR, GREENVILLE, NC 27858-6548
(252) 412-1564
Mailing address
PO BOX 2417, WINTERVILLE, NC 28590-2417
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300156
—
NC
Enumeration date
03/14/2008
Last updated
03/14/2008
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