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NPI Code Detail

MEDICARE: FAMILY EMPOWERMENT

MEDICARE: FAMILY EMPOWERMENT
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1548472509
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY EMPOWERMENT
Provider Business Mailing Address
First Line : PO BOX 425
Second Line :
City : NEW BERN
State : NC
Zip : 28563-0425
Country : US
Telephone Number : 252-636-0400
Fax Number : 252-514-0140
Provider Business Practice Location Address
First Line : 2619 TRENT RD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-2025
Country : US
Telephone Number : 252-636-9655
Fax Number : 252-514-0140
Authorized Official
Title or Position : PRESIDENT CEO
Name : MR. JOHN DAVID WALLACE
Credential :
Telephone Number : 252-349-2655
Provider Enumeration Date : 05/04/2007
Last Update Date : 08/22/2020

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Directions to “FAMILY EMPOWERMENT ” Practice Location

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