Organization
MARY MANOR II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MCCULLERS (OWNER)
(919) 796-5780
Entity
Organization
Contact information
Practice address
501 BUNN ST, ZEBULON, NC 27597-9177
(919) 269-3060
(919) 266-7901
Mailing address
5641 QUAIL COVEY LN, WENDELL, NC 27591-7901
(919) 796-5780
(919) 266-7901
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
09/11/2024
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