Organization
2ND CHANCE COMMUNITY SUPPORT OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HARRIETT SILER (SOCIAL WORKER)
(336) 449-4344
Entity
Organization
Contact information
Practice address
308 ST NICHOLAS TRL, GIBSONVILLE, NC 27249-2780
(336) 449-4344
(336) 449-4344
Mailing address
308 ST NICHOLAS TRL, GIBSONVILLE, NC 27249-2780
(336) 449-4344
(336) 449-4344
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/19/2010
Last updated
02/23/2010
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