| Hedgepeth Supportive Services, Llc | |
|
5509 Monroe Rd Charlotte NC 28212-5503 | |
| (704) 510-2287 | |
| Not Available |
| Full Name | Hedgepeth Supportive Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5509 Monroe Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | James Hedgepeth (PRESIDENT) |
| Authorized Official Contact | 7043239704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hedgepeth Supportive Services, Llc Po Box 470341 Charlotte NC 28247-0341 Ph: () - | Hedgepeth Supportive Services, Llc 5509 Monroe Rd Charlotte NC 28212-5503 Ph: (704) 510-2287 |
| NPI Number | 1780839563 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 09/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780839563 | NPI | - | NPPES |
| 8302574H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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