Prophet's House LLC
NPI #1942528054 in Vanceboro, North Carolina
Provider Information
- NPI Number
- 1942528054
- Entity Type
- Organization
- Organization Name
- Prophet's House LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 13, 2010
- Last Updated
- May 13, 2010
Practice Location
- Address
- 7917 MAIN STREET
- City
- Vanceboro
- State
- North Carolina
- ZIP Code
- 28586
- Phone
- (252) 244-0040
Authorized Official
- Name
- MRS. LUCKEA BENSTON
- Title
- OWNER
- Phone
- (252) 227-3036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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