| Blazing Women Of God Adult Group Home Inc. | |
|
1124 Clark St Rocky Mount NC 27801-5735 | |
| (252) 212-9888 | |
| Not Available |
| Full Name | Blazing Women Of God Adult Group Home Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1124 Clark St, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Minnie B Bullock (ADMINSTRATOR) |
| Authorized Official Contact | 2522129888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blazing Women Of God Adult Group Home Inc. 1124 Clark St Rocky Mount NC 27801-5735 Ph: (252) 212-9888 | Blazing Women Of God Adult Group Home Inc. 1124 Clark St Rocky Mount NC 27801-5735 Ph: (252) 212-9888 |
| NPI Number | 1689976169 |
|---|---|
| Provider Enumeration Date | 12/03/2010 |
| Last Update Date | 12/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689976169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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