Organization
HOPE IN THE CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELTON PARKER (EXECUTIVE DIRECTOR)
(910) 916-3929
Entity
Organization
Contact information
Practice address
313 NORTH BLVD. NORTHSIDE PLAZA, BLGD.10, CLINTON, NC 28328-1911
(910) 299-0025
Mailing address
PO BOX 1576, ROSEBORO, NC 28382-1576
(910) 916-3929
(910) 296-6246
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL-082-080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100091
FACILITY ID
NC
Enumeration date
07/29/2010
Last updated
07/29/2010
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