| Essentially Living Inc | |
|
301 S Battleground Ave Kings Mountain NC 28086-3601 | |
| (704) 739-3997 | |
| (704) 739-6420 |
| Full Name | Essentially Living Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 S Battleground Ave, Kings Mountain, North Carolina |
| Authorized Official Name and Position | Aaron T Anderson (OWNER) |
| Authorized Official Contact | 7049135779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentially Living Inc Po Box 1593 Kings Mountain NC 28086-1593 Ph: (704) 739-3997 | Essentially Living Inc 301 S Battleground Ave Kings Mountain NC 28086-3601 Ph: (704) 739-3997 |
| NPI Number | 1356534176 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 08/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356534176 | NPI | - | NPPES |
| 8300608B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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