| Home Away From Home Child Services | |
|
201 Winborne Ln Edenton NC 27932-1562 | |
| (252) 325-6171 | |
| Not Available |
| Full Name | Home Away From Home Child Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 201 Winborne Ln, Edenton, North Carolina |
| Authorized Official Name and Position | Cassandra Pierce (PRESIDENT) |
| Authorized Official Contact | 2523256171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Away From Home Child Services 201 Winborne Ln Edenton NC 27932-1562 Ph: (252) 325-6171 | Home Away From Home Child Services 201 Winborne Ln Edenton NC 27932-1562 Ph: (252) 325-6171 |
| NPI Number | 1023840519 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023840519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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