| Crandell's Enterprises Inc | |
|
105 Avery St Garner NC 27529-3133 | |
| (919) 900-8918 | |
| Not Available |
| Full Name | Crandell's Enterprises Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105 Avery St, Garner, North Carolina |
| Authorized Official Name and Position | Carolyn Mayo (DIRECTOR) |
| Authorized Official Contact | 9197906739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crandell's Enterprises Inc 5312 Six Forks Rd 301 Raleigh NC 27609-4458 Ph: () - | Crandell's Enterprises Inc 105 Avery St Garner NC 27529-3133 Ph: (919) 900-8918 |
| NPI Number | 1770998122 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770998122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL 092-861 (North Carolina) | Primary |
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