| Carolina Eastern Health Services, Inc. | |
| 111 Lamon St Suite 214 Fayetteville NC 28301-4957 | |
| (910) 323-6011 | |
| (910) 321-6011 | 
| Full Name | Carolina Eastern Health Services, Inc. | 
|---|---|
| Speciality | Case Management | 
| Location | 111 Lamon St, Fayetteville, North Carolina | 
| Authorized Official Name and Position | Ken Zeng (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 9103236011 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carolina Eastern Health Services, Inc. 1472 Beasley Rd Benson NC 27504-7486 Ph: (910) 323-6011 | Carolina Eastern Health Services, Inc. 111 Lamon St Suite 214 Fayetteville NC 28301-4957 Ph: (910) 323-6011 | 
| NPI Number | 1235276015 | 
|---|---|
| Provider Enumeration Date | 01/31/2007 | 
| Last Update Date | 08/16/2007 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235276015 | NPI | - | NPPES | 
| 3409675 | Medicaid | NC | |
| 8700421 | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary | 
| 251B00000X | Case Management | (* (Not Available)) | Primary | 
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