Organization
HYDE COUNTY DSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA COLLINS SPENCER (DIRECTOR)
(252) 926-4476
Entity
Organization
Contact information
Practice address
1430 MAIN STREET, SWAN QUARTER, NC 27885
(252) 926-4476
(252) 926-3711
Mailing address
1430 MAIN STREET, SWAN QUARTER, NC 27885
(252) 926-4476
(252) 926-3711
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NC
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408616
—
NC
05
—
8700091
—
NC
Enumeration date
02/06/2007
Last updated
11/25/2013
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