| Impact Me, Incorporated | |
|
1109 Highland Rd Charleston WV 25302-3007 | |
| (130) 444-4958 | |
| Not Available |
| Full Name | Impact Me, Incorporated |
|---|---|
| Speciality | Local Education Agency (lea) |
| Location | 1109 Highland Rd, Charleston, West Virginia |
| Authorized Official Name and Position | Seri Bosse (PRESIDENT) |
| Authorized Official Contact | 3044449584 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Me, Incorporated 1109 Highland Rd Charleston WV 25302-3007 Ph: (130) 444-4958 | Impact Me, Incorporated 1109 Highland Rd Charleston WV 25302-3007 Ph: (130) 444-4958 |
| NPI Number | 1427624634 |
|---|---|
| Provider Enumeration Date | 05/28/2021 |
| Last Update Date | 11/04/2021 |
| Certification Date | 11/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427624634 | NPI | - | NPPES |
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