Organization
EDUCATION UNLIMITED DAY PROGRAM CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK GOSLEE (ADMINISTRATOR)
(910) 630-3041
Entity
Organization
Contact information
Practice address
1448 PAMALEE DR, FAYETTEVILLE, NC 28303-3928
(910) 630-3940
Mailing address
1446 PAMALEE DR, FAYETTEVILLE, NC 28303-3928
(910) 630-3041
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
MHL - 026 - 858
NC
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL - 026 - 859
NC
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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