| Heart To Heart Supportive Services | |
|
4212 Fairhaven Dr Rocky Mount NC 27803-1178 | |
| (252) 266-8049 | |
| Not Available |
| Full Name | Heart To Heart Supportive Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4212 Fairhaven Dr, Rocky Mount, North Carolina |
| Authorized Official Name and Position | Kena Alston Dickens (OWNER) |
| Authorized Official Contact | 2522668049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart To Heart Supportive Services 4212 Fairhaven Dr Rocky Mount NC 27803-1178 Ph: (252) 266-8049 | Heart To Heart Supportive Services 4212 Fairhaven Dr Rocky Mount NC 27803-1178 Ph: (252) 266-8049 |
| NPI Number | 1225321128 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 05/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225321128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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