| God's Destiny Family Care Home | |
|
107 Greenwood Ave Rocky Mount NC 27804-3739 | |
| (252) 443-3521 | |
| (252) 443-3521 |
| Full Name | God's Destiny Family Care Home |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 107 Greenwood Ave, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Brooke Amelia Jordan (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 2525677821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| God's Destiny Family Care Home 100 Birdie Ct Rocky Mount NC 27804-8611 Ph: (252) 443-3521 | God's Destiny Family Care Home 107 Greenwood Ave Rocky Mount NC 27804-3739 Ph: (252) 443-3521 |
| NPI Number | 1871916189 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871916189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | FCL-064-025 (North Carolina) | Primary |
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