Organization
SLICE 325
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEMECKA MCNEIL (EXECUTIVE DIRECTOR,)
(919) 730-6730
Entity
Organization
Contact information
Practice address
8231 HEMPSHIRE PL APT 103, RALEIGH, NC 27613-5449
(919) 730-6730
Mailing address
8231 HEMPSHIRE PL APT 103, RALEIGH, NC 27613-5449
(919) 730-6730
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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