Country Cove Group Home | |
28 Hillpark Dr Hendersonville NC 28739-4714 | |
(828) 877-4062 | |
(828) 698-0627 |
Full Name | Country Cove Group Home |
---|---|
Speciality | Intermediate Care Facility, Intellectual Disabilities |
Location | 28 Hillpark Dr, Hendersonville, 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 |
---|---|
Country Cove Group Home 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | Country Cove Group Home 28 Hillpark Dr Hendersonville NC 28739-4714 Ph: (828) 877-4062 |
NPI Number | 1811032089 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 09/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811032089 | NPI | - | NPPES |
3436402 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
315P00000X | Intermediate Care Facility, Intellectual Disabilities | (* (Not Available)) | Primary |
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