| Home Of Second Chances, Llc | |
|
2216 W Meadowview Rd Ste 105 Greensboro NC 27407-3401 | |
| (336) 285-9031 | |
| (336) 285-9032 |
| Full Name | Home Of Second Chances, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2216 W Meadowview Rd Ste 105, Greensboro, North Carolina |
| Authorized Official Name and Position | Cynthia K Jones (OWNER/MEMBER) |
| Authorized Official Contact | 3362859031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Of Second Chances, Llc 2216 W Meadowview Rd Ste 105 Greensboro NC 27407-3401 Ph: (336) 285-9031 | Home Of Second Chances, Llc 2216 W Meadowview Rd Ste 105 Greensboro NC 27407-3401 Ph: (336) 285-9031 |
| NPI Number | 1851614762 |
|---|---|
| Provider Enumeration Date | 03/05/2010 |
| Last Update Date | 03/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851614762 | NPI | - | NPPES |
| 8302865H | Medicaid | NC | |
| 8302865B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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