| Adult Life Programs | |
|
211 Second Avenue Place Ne Conover NC 28613 | |
| (828) 464-0078 | |
| Not Available |
| Full Name | Adult Life Programs |
|---|---|
| Speciality | Clinic/center - Adult Day Care |
| Location | 211 Second Avenue Place Ne, Conover, North Carolina |
| Authorized Official Name and Position | Crystal Brackett (FINANCE DIRECTOR) |
| Authorized Official Contact | 8283269120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Life Programs Po Box 807 Hickory NC 28603-0807 Ph: (828) 326-9120 | Adult Life Programs 211 Second Avenue Place Ne Conover NC 28613 Ph: (828) 464-0078 |
| NPI Number | 1104957786 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 10/10/2023 |
| Certification Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104957786 | NPI | - | NPPES |
| 8300638 | Medicaid | NC | |
| 8302148 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Primary |
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