| Organization Name: | ROBESON HEALTH CARE CORPORATION |
| NPI Number: | 1023061256 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JINNIE LOWERY (PRESIDENT/CEO) |
| Mailing Address: | 800 Martin Luther King Jr Drive Lumberton |
| State: | NC US |
| Postal Code: | 28358 |
| Phone Number: | 9107384770 |
| Fax Number: | 9107376567 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |