219 Bridge | |
300 W J St Erwin NC 28339-1428 | |
(919) 230-9034 | |
(919) 894-1488 |
Full Name | 219 Bridge |
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Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
Location | 300 W J St, Erwin, 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 |
---|---|
219 Bridge 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | 219 Bridge 300 W J St Erwin NC 28339-1428 Ph: (919) 230-9034 |
NPI Number | 1003197468 |
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Provider Enumeration Date | 08/30/2011 |
Last Update Date | 09/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003197468 | NPI | - | NPPES |
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