SOUTHEASTERN LIFE CENTER INC NPI 1801580485

NPI Information

NPI: 1801580485
Provider Name: SOUTHEASTERN LIFE CENTER INC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
CLIA Number: 34D2315570
Address: 3005 N ELM ST
LUMBERTON, NC
ZIP 28358
Phone: (910) 522-0408

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NPI Details

SOUTHEASTERN LIFE CENTER INC is a non emergency medical transport van in Lumberton, NC. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. SOUTHEASTERN LIFE CENTER INC NPI is 1801580485. The provider is registered as an organization entity type.

The provider's business location address is:

3005 N ELM ST
LUMBERTON, NC
ZIP 28358-984
Phone: (910) 522-0408

The provider's authorized official is Jody Bullard .
The authorized official title is Executive Director and has the following contact phone number (910) 522-0408.

The CLIA number assigned to this NPI record is 34D2315570 - other - mental health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2023 and was last updated on 11/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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