Organization
SAMARITANS NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIAN BROWN CANNON (EXECUTIVE DIRECTOR)
(252) 799-0300
Entity
Organization
Contact information
Practice address
408 N MARTIN LUTHER KING JR DR, WILLIAMSTON, NC 27892-1931
(252) 789-8305
(252) 789-8305
Mailing address
408 N MARTIN LUTHER KING JR DR, WILLIAMSTON, NC 27892-1931
(252) 789-8305
(252) 789-8305
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-058-013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804585
—
NC
Enumeration date
06/21/2007
Last updated
08/22/2020
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