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Organization

KINGDOM CARE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TEQUITA C OBIE (EXECUTIVE DIRECTOR)
(336) 270-5124
Entity
Organization

Contact information

Practice address
1710 WESTBROOK AVE, BURLINGTON, NC 27215-8721
(336) 270-5124
(336) 270-5125
Mailing address
1710 WESTBROOK AVE, BURLINGTON, NC 27215-8721
(336) 270-5124
(336) 270-5125

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-001-193
NC

Other

Enumeration date
05/12/2010
Last updated
05/12/2010
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