Organization
PIECING IT TOGETHER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMMA LEE LOCKLEAR LCP, NBCC (MANAGER, MEMBER/OWNER)
(910) 521-4464
Entity
Organization
Contact information
Practice address
109 W CENTRAL ST, MAXTON, NC 28364-1703
(910) 521-4464
Mailing address
1837 HEZEKIAH RD, MAXTON, NC 28364-8679
(910) 521-4464
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MHL-078-254
NC
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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