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Organization

CARIBBEAN PALACE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHANTAL GREGORY FULTON MS (ADMINISTRATOR)
(252) 645-9193
Entity
Organization

Contact information

Practice address
235 HILLSIDE DR, RICH SQUARE, NC 27869-9306
(252) 645-9193
Mailing address
235 HILLSIDE DR, RICH SQUARE, NC 27869-9306

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
385H00000X
Respite Care
Primary

Other

Enumeration date
03/09/2026
Last updated
04/16/2026
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