| Caribbean Palace Llc | |
|
235 Hillside Dr Rich Square NC 27869-9306 | |
| (252) 645-9193 | |
| Not Available |
| Full Name | Caribbean Palace Llc |
|---|---|
| Speciality | Respite Care |
| Location | 235 Hillside Dr, Rich Square, North Carolina |
| Authorized Official Name and Position | Chantal Gregory Fulton (ADMINISTRATOR) |
| Authorized Official Contact | 2526459193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caribbean Palace Llc 235 Hillside Dr Rich Square NC 27869-9306 Ph: () - | Caribbean Palace Llc 235 Hillside Dr Rich Square NC 27869-9306 Ph: (252) 645-9193 |
| NPI Number | 1649126939 |
|---|---|
| Provider Enumeration Date | 03/09/2026 |
| Last Update Date | 04/16/2026 |
| Certification Date | 04/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649126939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 385H00000X | Respite Care | (* (Not Available)) | Primary |
Caribbean Palace Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Hillside Dr, Rich Square, NC 27869 Phone: 252-645-9193 | |
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