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Organization

OPEN HEARTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALBERT R TELFAIR (OWNER)
(252) 641-4005
Entity
Organization

Contact information

Practice address
509 BEASLEY ST, PRINCEVILLE, NC 27886-5414
(252) 641-4005
(252) 641-4005
Mailing address
509 BEASLEY ST, PRINCEVILLE, NC 27886-5414
(252) 641-4005
(252) 641-4005

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL033107
NC

Other

Enumeration date
02/13/2012
Last updated
02/13/2012
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