| Burklo Home, Inc | |
|
416 Foxtrace Ln Hubert NC 28539-4484 | |
| (910) 325-6043 | |
| (910) 401-1777 |
| Full Name | Burklo Home, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 416 Foxtrace Ln, Hubert, North Carolina |
| Authorized Official Name and Position | Linda Kay Burklo (CEO, OWNER) |
| Authorized Official Contact | 9103256043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burklo Home, Inc 416 Foxtrace Ln Hubert NC 28539-4484 Ph: (910) 325-6043 | Burklo Home, Inc 416 Foxtrace Ln Hubert NC 28539-4484 Ph: (910) 325-6043 |
| NPI Number | 1659577682 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659577682 | NPI | - | NPPES |
| 8300869 | Medicaid | NC | |
| 3408253 | Medicaid | NC | |
| 8300869B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 9999999 (North Carolina) | Primary |
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