Organization
SPECTRUM SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILEAN HILL M.ED (PRESIDENT)
(919) 954-1171
Entity
Organization
Contact information
Practice address
6108 BIG SANDY DR, RALEIGH, NC 27616-5790
(919) 954-1171
(919) 874-0812
Mailing address
6108 BIG SANDY DR, RALEIGH, NC 27616-5790
(919) 954-1171
(919) 874-0812
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302146
—
NC
Enumeration date
04/16/2008
Last updated
09/26/2008
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