| NPI | 1073740338 |
|---|---|
| Doing Business As | SUCOREE |
| Entity Type | Organization |
| Authorized Contact | SUZETTE GENETHA COTTER Owner 910-265-1894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 1676) |
| Additional Taxonomies | 251B00000X Case Management |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2012-07-25 |