| Horse Time Inc | |
|
10385 Highway 278 East Covington GA 30014 | |
| (770) 784-9777 | |
| Not Available |
| Full Name | Horse Time Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10385 Highway 278 East, Covington, Georgia |
| Authorized Official Name and Position | Maureen Frances Vidrine (DIRECTOR) |
| Authorized Official Contact | 77078497777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horse Time Inc 40 880 Bethel Church Road Monroe GA 30655 Ph: (770) 784-9777 | Horse Time Inc 10385 Highway 278 East Covington GA 30014 Ph: (770) 784-9777 |
| NPI Number | 1255486411 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 09/17/2009 |
| Medicare PECOS PAC ID | 7012010176 |
|---|---|
| Medicare Enrollment ID | O20070309000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255486411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Maureen F Vidrine |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1326116633 PECOS PAC ID: 2769482561 Enrollment ID: I20061229000248 |
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