Healthcare Provider Details

I. General information

NPI: 1467297481
Provider Name (Legal Business Name): CARING HANDS SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 STEED RD
SEAGROVE NC
27341-9461
US

IV. Provider business mailing address

351 STEED RD
SEAGROVE NC
27341-9461
US

V. Phone/Fax

Practice location:
  • Phone: 910-975-4387
  • Fax:
Mailing address:
  • Phone: 910-975-4387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. SIMEON RAFAEL MCRAE
Title or Position: DIRECTOR
Credential:
Phone: 910-975-4387