Cozie's Supervised Living Inc. | |
7964 County Line Rd Liberty NC 27298-9590 | |
(336) 549-1081 | |
(336) 622-1420 |
Full Name | Cozie's Supervised Living Inc. |
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Speciality | Community/behavioral Health |
Location | 7964 County Line Rd, Liberty, North Carolina |
Authorized Official Name and Position | Crystal Dudley (ADMINISTRATOR) |
Authorized Official Contact | 3365491081 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cozie's Supervised Living Inc. 7964 County Line Rd Liberty NC 27298-9590 Ph: (336) 549-1081 | Cozie's Supervised Living Inc. 7964 County Line Rd Liberty NC 27298-9590 Ph: (336) 549-1081 |
NPI Number | 1891838116 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 06/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891838116 | NPI | - | NPPES |
8301579 | Medicaid | NC | |
3409308 | Medicaid | NC | |
7803981 | Medicaid | NC |
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