Organization
SOUTHEASTERN BEHAVIORAL HOMECARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIRGIL L HUTCHINSON (CEO)
(910) 738-1587
Entity
Organization
Contact information
Practice address
3573 LACKEY ST, LUMBERTON, NC 28360-9048
(910) 738-1587
(910) 739-6698
Mailing address
PO BOX 1004, LUMBERTON, NC 28359-1004
(910) 739-1587
(910) 738-1581
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3112
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408093
—
NC
05
—
6601347
—
NC
05
—
6602383
—
NC
Enumeration date
12/28/2006
Last updated
05/01/2013
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