| Southeastern United Care,llc | |
|
30 Drakes Branch Drive Pembroke NC 28372-7325 | |
| (910) 521-9557 | |
| (910) 521-0077 |
| Full Name | Southeastern United Care,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 30 Drakes Branch Drive, Pembroke, North Carolina |
| Authorized Official Name and Position | Demetrus Locklear (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 30 Drakes Branch Drive Pembroke NC 28372-7325 Ph: (910) 521-9557 |
| NPI Number | 1043451305 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 03/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043451305 | NPI | - | NPPES |
| 6006401 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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