Provider Demographics
NPI:1174659965
Name:ROBESON COUNTY DEPARTMENT OF SOCIAL SERVICES
Entity type:Organization
Organization Name:ROBESON COUNTY DEPARTMENT OF SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:I
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:910-671-3500
Mailing Address - Street 1:120 GLEN COWAN RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28360-0413
Mailing Address - Country:US
Mailing Address - Phone:910-671-3500
Mailing Address - Fax:910-671-3092
Practice Address - Street 1:120 GLEN COWAN RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28360-0413
Practice Address - Country:US
Practice Address - Phone:910-671-3500
Practice Address - Fax:910-671-3092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC870083Medicaid