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Organization

WHITE ALTERNATIVE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VENESTA WHITTED WHITE (PRESIDENT)
(910) 483-1146
Entity
Organization

Contact information

Practice address
2916 RAMSEY ST, SUITE 106, FAYETTEVILLE, NC 28301-3164
(910) 483-1146
(910) 483-1149
Mailing address
3500 TRIBUNE CT, FAYETTEVILLE, NC 28311-2432
(910) 483-1146
(910) 483-1149

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3409656
NC
05
6601491
NC
05
8301165
NC
Enumeration date
04/24/2007
Last updated
01/02/2008
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