| Ellenboro Elementary | |
|
813 Piney Mountain Church Rd Ellenboro NC 28040-8656 | |
| (704) 344-0491 | |
| (704) 344-0493 |
| Full Name | Ellenboro Elementary |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 813 Piney Mountain Church Rd, Ellenboro, North Carolina |
| Authorized Official Name and Position | Pamela L Freeley (NC BILLING SYSTEMS SUPERVISOR) |
| Authorized Official Contact | 7043440491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellenboro Elementary Po Box 759194 Baltimore MD 21275-9195 Ph: (704) 344-0491 | Ellenboro Elementary 813 Piney Mountain Church Rd Ellenboro NC 28040-8656 Ph: (704) 344-0491 |
| NPI Number | 1164871604 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 12/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164871604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Person 1st Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 New House Rd, Ellenboro, NC 28040 Phone: 704-692-6974 |