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Organization

CBW CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHAMIKA DAWSON SHEPPARD (AGENCY DIRECTOR)
(252) 751-6379
Entity
Organization

Contact information

Practice address
315 EVANS ST STE 5, GREENVILLE, NC 27858-1832
(252) 751-6379
(252) 364-3974
Mailing address
315 EVANS ST STE 5, GREENVILLE, NC 27858-1832
(252) 814-1003

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
385H00000X
Respite Care

Other

Enumeration date
06/21/2021
Last updated
08/28/2025
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