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NPI Code Detail

MEDICARE: EASTPOINTE HUMAN SERVICES

MEDICARE: EASTPOINTE HUMAN SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1306058524
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTPOINTE HUMAN SERVICES
Provider Business Mailing Address
First Line : 3581 LACKEY ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28360-9048
Country : US
Telephone Number : 910-272-1217
Fax Number :
Provider Business Practice Location Address
First Line : 3581 LACKEY ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28360-9048
Country : US
Telephone Number : 910-272-1217
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. KENNETH R. JONES
Credential : MBA
Telephone Number : 910-290-2518
Provider Enumeration Date : 05/03/2007
Last Update Date : 09/11/2012

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Directions to “EASTPOINTE HUMAN SERVICES ” Practice Location

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