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Southeastern United Care Llc
Community/Behavioral Health Agency in Pembroke, North Carolina
NPI 1922093947

Southeastern United Care Llc is a Community/Behavioral Health Agency based in Pembroke, NC. Southeastern United Care Llc practices in Pembroke, NC. The NPI Number for Southeastern United Care Llc is 1922093947 and holds a License No. HC 2923 (North Carolina).

The current practice location address for Southeastern United Care Llc is 30 Drakes Branch Drive, Pembroke, NC and can be reached out via phone at 910-521-9557 and via fax at 910-521-0077.

Location: 30 Drakes Branch Drive, Pembroke, NC, 28372-0159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922093947
Provider Name
Southeastern United Care Llc
Credential
Provider Entity Type
Organization
Address
30 Drakes Branch Drive, Pembroke, NC, 28372-0159
Phone Number
910-521-9557
Fax Number
910-521-0077
Provider Enumeration Date
09/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3408256 05 NC
8301697 05 NC
6006401 05 NC
6601239 05 NC
8301697B 05 NC
8301697G 05 NC
institution
Provider Business Practice Location Address Details
Address
30 Drakes Branch Drive
City
Pembroke
State
North Carolina
Zip
28372-7325
Phone Number
910-521-9557
Fax Number
910-521-0077
person
Provider Business Mailing Address Details
Address
30 Drakes Branch Drive
City
Pembroke
State
North Carolina
Zip
28372-7325
Phone Number
910-521-9557
Fax Number
910-521-0077
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
HC 2923 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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