| Hacket Iii Home | |
|
113 Hackett St North Wilkesboro NC 28659-3266 | |
| (404) 364-2900 | |
| (404) 364-2901 |
| Full Name | Hacket Iii Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 113 Hackett St, North Wilkesboro, North Carolina |
| Authorized Official Name and Position | Jennifer D Lozano (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 4043642900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hacket Iii Home 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | Hacket Iii Home 113 Hackett St North Wilkesboro NC 28659-3266 Ph: (404) 364-2900 |
| NPI Number | 1891116919 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891116919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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