Free N Deed Ministry Inc. | |
799 Kathy Dianne Dr Fort Mill SC 29707-6905 | |
(134) 751-2513 | |
Not Available |
Full Name | Free N Deed Ministry Inc. |
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Speciality | Social Worker |
Location | 799 Kathy Dianne Dr, Fort Mill, South Carolina |
Authorized Official Name and Position | Glenn Torre Brown (PRESIDENT) |
Authorized Official Contact | 3475125136 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Free N Deed Ministry Inc. 799 Kathy Dianne Dr Fort Mill SC 29707-6905 Ph: (134) 751-2513 | Free N Deed Ministry Inc. 799 Kathy Dianne Dr Fort Mill SC 29707-6905 Ph: (134) 751-2513 |
NPI Number | 1447031315 |
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Provider Enumeration Date | 10/09/2023 |
Last Update Date | 10/09/2023 |
Certification Date | 10/07/2023 |
Medicare PECOS PAC ID | 7517315831 |
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Medicare Enrollment ID | O20231128001251 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447031315 | NPI | - | NPPES |
SW1899 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Glenn T Brown |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023235843 PECOS PAC ID: 6507891223 Enrollment ID: I20231128001525 |
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