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Organization

MID-STATE HEALTH SYSTEMS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SERA GILMORE (ADMINISTRATOR)
(910) 484-3717
Entity
Organization

Contact information

Practice address
117 BEASLEY ST, 2ND FLOOR, KENANSVILLE, NC 28349
(910) 296-9822
Mailing address
PO BOX 64724, FAYETTEVILLE, NC 28306-0724
(910) 484-3717

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/22/2007
Last updated
10/22/2007
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