Organization
MACBILL,INC.
Active
Other names
Harlee Mac Group Home IV
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARIA MCCOLLUM (OWNER)
(252) 526-7781
Entity
Organization
Contact information
Practice address
5740 LONGVIEW DR, FAYETTEVILLE, NC 28306-8567
(252) 526-7781
(919) 882-0916
Mailing address
PO BOX 1444, KINSTON, NC 28503-1444
(252) 526-7781
(919) 882-0916
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-026-955
NC
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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