207 - Angier | |
190 Rawls Rd Angier NC 27501-6037 | |
(910) 639-6082 | |
(919) 894-1488 |
Full Name | 207 - Angier |
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Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
Location | 190 Rawls Rd, Angier, North Carolina |
Authorized Official Name and Position | Jennifer D Lozano (DIRECTOR OF REVENUE CYCLE) |
Authorized Official Contact | 4043642900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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207 - Angier 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | 207 - Angier 190 Rawls Rd Angier NC 27501-6037 Ph: (910) 639-6082 |
NPI Number | 1396026019 |
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Provider Enumeration Date | 09/08/2011 |
Last Update Date | 09/24/2018 |
Identifier | Type | State | Issuer |
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1396026019 | NPI | - | NPPES |
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