Organization
SOUTHEASTERN HOME HEALTH CARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE SURGEON (PRESIDENT/OWNER)
(910) 272-0121
Entity
Organization
Contact information
Practice address
401 E 11TH ST, LUMBERTON, NC 28358-4807
(910) 272-0121
Mailing address
401 E 11TH ST, LUMBERTON, NC 28358-4807
(910) 272-0121
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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