Organization
MBN & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILLTRENE B NEWELL (EXECUTIVE DIRECTOR)
(919) 496-1899
Entity
Organization
Contact information
Practice address
909 N BICKETT BLVD, LOUISBURG, NC 27549-2215
(919) 496-1899
(919) 496-1803
Mailing address
PO BOX 1086, LOUISBURG, NC 27549-1086
(919) 496-1899
(919) 496-1803
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
MHL035024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804036
—
NC
Enumeration date
03/26/2007
Last updated
08/22/2020
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