Provider Demographics
NPI:1639472533
Name:PREFERRED CARE
Entity Type:Organization
Organization Name:PREFERRED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:MCPHAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-878-0136
Mailing Address - Street 1:318 HARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-3110
Mailing Address - Country:US
Mailing Address - Phone:910-878-0136
Mailing Address - Fax:910-878-0135
Practice Address - Street 1:202 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BENNETTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29512-3106
Practice Address - Country:US
Practice Address - Phone:843-479-0808
Practice Address - Fax:843-479-0822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0000007846251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health