| Benton Lane | |
|
2205 Benton Ln Greensboro NC 27455-1639 | |
| (336) 996-7556 | |
| (336) 996-7602 |
| Full Name | Benton Lane |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 2205 Benton Ln, Greensboro, 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 |
|---|---|
| Benton Lane 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | Benton Lane 2205 Benton Ln Greensboro NC 27455-1639 Ph: (336) 996-7556 |
| NPI Number | 1083749568 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083749568 | NPI | - | NPPES |
| 7804552 | Medicaid | NC |
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