Organization
PROMISED LAND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERVONIA SHERISH MANNING (OWNER)
(910) 276-0487
Entity
Organization
Contact information
Practice address
821 S MAIN ST, LAURINBURG, NC 28352-4724
(910) 276-0487
(910) 276-4123
Mailing address
821 S MAIN ST, LAURINBURG, NC 28352-4724
(910) 276-0487
(910) 276-4123
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2538
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408009
—
NC
05
—
6601067
—
NC
Enumeration date
03/29/2007
Last updated
08/22/2020
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