| Southeastern United Care Llc | |
|
306 Beaman St Clinton NC 28328-2908 | |
| (910) 596-0001 | |
| (910) 596-2555 |
| Full Name | Southeastern United Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 306 Beaman St, Clinton, North Carolina |
| Authorized Official Name and Position | Demetrus Locklear (AGENCY DIRECTOR/OWNER) |
| Authorized Official Contact | 9105219557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern United Care Llc Po Box 159 Pembroke NC 28372-0159 Ph: (910) 521-9557 | Southeastern United Care Llc 306 Beaman St Clinton NC 28328-2908 Ph: (910) 596-0001 |
| NPI Number | 1225218548 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 01/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225218548 | NPI | - | NPPES |
| 8302091G | Medicaid | NC | |
| 5950142 | Medicaid | NC | |
| 6006398 | Medicaid | NC | |
| 8302091 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Southeastern United Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Beaman St., Clinton, NC 28328 Phone: 910-521-9557 Fax: 910-521-0077 | |
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