| Healthcore Resource Inc | |
|
716 E Fairfield Rd Suite 102 Greenville SC 29605-3609 | |
| (704) 577-2139 | |
| (919) 872-1170 |
| Full Name | Healthcore Resource Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 716 E Fairfield Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Fashenda Little-gerald (OPERATIONS MANAGER) |
| Authorized Official Contact | 7045772139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcore Resource Inc 1001 Navaho Dr Suite 101 Raleigh NC 27609-7335 Ph: (704) 577-2139 | Healthcore Resource Inc 716 E Fairfield Rd Suite 102 Greenville SC 29605-3609 Ph: (704) 577-2139 |
| NPI Number | 1477950723 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 12/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477950723 | NPI | - | NPPES |
| 8301768H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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