| Edgewood Street | |
|
2304 Edgewood Dr Albemarle NC 28001-5418 | |
| (704) 983-5523 | |
| (704) 983-5523 |
| Full Name | Edgewood Street |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 2304 Edgewood Dr, Albemarle, North Carolina |
| Authorized Official Name and Position | Cindy Jones (CFO) |
| Authorized Official Contact | 7049861522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewood Street 350 Pee Dee Ave Suite A Albemarle NC 28001-4945 Ph: (704) 986-1522 | Edgewood Street 2304 Edgewood Dr Albemarle NC 28001-5418 Ph: (704) 983-5523 |
| NPI Number | 1154558955 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 12/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154558955 | NPI | - | NPPES |
| 7805485 | Medicaid | NC |
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