Organization
HOPE IN THE CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELTON PARKER (OWNER)
(910) 916-3929
Entity
Organization
Contact information
Practice address
4479 HAYNE STRETCH RD, ROSEBORO, NC 28382-8436
(910) 531-4041
Mailing address
PO BOX 1576, ROSEBORO, NC 28382-1576
(910) 916-3929
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-082-073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070539
—
NC
Enumeration date
12/14/2007
Last updated
12/14/2007
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