Organization
SAMARITAN NETWORK, INC.
Active
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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