| Climbing Jacobs Ladder Inc | |
|
3072 Bainbridge Dr Winston Salem NC 27105-3916 | |
| (336) 529-6129 | |
| (336) 529-6168 |
| Full Name | Climbing Jacobs Ladder Inc |
|---|---|
| Speciality | Home Health |
| Location | 3072 Bainbridge Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Karla Paul (OWNER) |
| Authorized Official Contact | 3365296129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Climbing Jacobs Ladder Inc 3072 Bainbridge Dr Winston Salem NC 27105-3916 Ph: (336) 529-6129 | Climbing Jacobs Ladder Inc 3072 Bainbridge Dr Winston Salem NC 27105-3916 Ph: (336) 529-6129 |
| NPI Number | 1235432881 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 04/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235432881 | NPI | - | NPPES |
| 134321 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 13333100 (North Carolina) | Secondary |
| 251E00000X | Home Health | HC4157 (North Carolina) | Primary |
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