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NPI 1487987293 - Case Management - 251B00000X

NPI Details
NPI 1487987293
Enumeration Date 09/10/2009
Last Updated 09/10/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GRADY GRADY
Position EXECUTIVE DIRECTOR
Phone (910) 892-3289
Fax (910) 892-3657
Practice Location
200 N 13TH ST
SUITE 19-D
ERWIN NC, 28339-1700, US
Phone (910) 892-3289
Fax (910) 892-3657
Business Location
39 MAR JOY RD
DUNN NC, 28334-5070, US
Phone (910) 892-3289
Fax (910) 892-3657
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
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According to our database, Unlimited Access NPI is 1487987293, taxonomy code is 251B00000X Unlimited Access physically located at 200 N 13th St, Erwin NC, 28339-1700. NPI Number 1033115704 has the healthcare provider type.

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1487987293 NPI number is provided on an as is basis without warranty of any kind. 1487987293 is maintained by the National Plan & Provider Enumeration System. The contents of Unlimited Access are for informational purposes only.