Organization
HEALTHCORE RESOURCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FASHENDA LITTLE-GERALD (OPERATIONS MANAGER)
(704) 577-2139
Entity
Organization
Contact information
Practice address
716 E FAIRFIELD RD, SUITE 102, GREENVILLE, SC 29605-3609
(704) 577-2139
(919) 872-1170
Mailing address
1001 NAVAHO DR, SUITE 101, RALEIGH, NC 27609-7335
(704) 577-2139
(919) 872-1170
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301768H
—
NC
Enumeration date
12/02/2014
Last updated
12/02/2014
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