Organization
MATCHBOX HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANN LONG (EXECUTIVE DIRECTOR)
(919) 493-3434
Entity
Organization
Contact information
Practice address
6 CONSULTANT PL, DURHAM, NC 27707-3598
(919) 493-3434
(919) 493-4342
Mailing address
6 CONSULTANT PL, DURHAM, NC 27707-3598
(919) 493-3434
(919) 493-4342
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409204
—
NC
05
—
8300256
—
NC
Enumeration date
11/08/2006
Last updated
08/22/2020
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