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Organization

HOPE IN THE CAROLINA, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHELTON JAMES PARKER (EXECUTIVE DIRECTOR)
(910) 916-3929
Entity
Organization

Contact information

Practice address
206 NORTH EAST STREET, ROSEBORO, NC 28382-5233
(910) 916-3929
(910) 296-6246
Mailing address
PO BOX 1576, ROSEBORO, NC 28382-1576
(910) 916-3929
(910) 296-6246

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-082-048
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6604007
NC
Enumeration date
10/25/2006
Last updated
07/26/2010
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