| H.o.m.e. Heartfelt Outreach Mentoring Enrichment | |
|
139 Morning Glory Cir Apt 204 Mocksville NC 27028-4426 | |
| (336) 477-4741 | |
| Not Available |
| Full Name | H.o.m.e. Heartfelt Outreach Mentoring Enrichment |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 139 Morning Glory Cir Apt 204, Mocksville, North Carolina |
| Authorized Official Name and Position | Octavia Buggs (CEO) |
| Authorized Official Contact | 3364774741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H.o.m.e. Heartfelt Outreach Mentoring Enrichment 139 Morning Glory Cir Apt 204 Mocksville NC 27028-4426 Ph: (336) 477-4741 | H.o.m.e. Heartfelt Outreach Mentoring Enrichment 139 Morning Glory Cir Apt 204 Mocksville NC 27028-4426 Ph: (336) 477-4741 |
| NPI Number | 1649050428 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649050428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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