Organization
SAMARITAN NETWORK, INC.
Active
Other names
Samaritans Network,Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAN BROWN CANNON BSW (EXECUTIVE DIRECTOR)
(252) 799-0300
Entity
Organization
Contact information
Practice address
300 S PEARL ST, WILLIAMSTON, NC 27892-2330
(252) 799-0300
(252) 799-0314
Mailing address
300 S PEARL ST, P.O.BOX 564, WILLIAMSTON, NC 27892-2330
(252) 799-0300
(252) 799-0314
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
MHL-058-041
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-058-041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396981676
—
NC
05
—
1477683928
—
NC
05
—
1619173366
—
NC
Enumeration date
07/16/2010
Last updated
07/16/2010
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