Organization
P. LAMB INC
Active
Other names
GLEZEN FCH 1
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN BRITTANY WARD (ADMINISTRATOR)
(910) 738-6377
Entity
Organization
Contact information
Practice address
1408 EISENHOWER ST, LUMBERTON, NC 28358-5118
(910) 738-6377
Mailing address
PO BOX 1126, LUMBERTON, NC 28359-1126
(910) 738-6377
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL078001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802061
—
NC
Enumeration date
02/26/2007
Last updated
08/22/2020
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