Organization
CIRCLE OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA OXENDINE LOCKLEAR (CEO)
(910) 521-1573
Entity
Organization
Contact information
Practice address
4729 UNION CHAPEL RD, PEMBROKE, NC 28372-8842
(910) 521-1573
Mailing address
4729 UNION CHAPEL RD, PEMBROKE, NC 28372-8842
(910) 521-1573
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2009
Last updated
11/01/2009
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