Organization
GOLDEN RULE YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE RAY FENNELL JR. (CO-DIRECTOR)
(910) 392-6533
Entity
Organization
Contact information
Practice address
4602 SPLIT RAIL DR, WILMINGTON, NC 28412-5203
(910) 392-6533
Mailing address
4602 SPLIT RAIL DR, WILMINGTON, NC 28412-5203
(910) 392-6533
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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