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Organization

JOURNEYS HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HAYNES ALMOND GRAHAM JR. (PRSEIDENT)
(910) 840-7481
Entity
Organization

Contact information

Practice address
515 CARVER MOORE RD, LAKE WACCAMAW, NC 28450-9713
(910) 840-7481
Mailing address
515 CARVER MOORE RD, LAKE WACCAMAW, NC 28450-9713
(910) 840-7481

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
146393
NC

Other

Enumeration date
12/24/2015
Last updated
12/24/2015
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