| Innovative Family Care Of Nc Llc | |
|
2515 Nc Hwy 55 Suite A Durham NC 27713 | |
| (919) 730-4763 | |
| Not Available |
| Full Name | Innovative Family Care Of Nc Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2515 Nc Hwy 55 Suite A, Durham, North Carolina |
| Authorized Official Name and Position | Harold Roderick Harrison (PRESIDENT) |
| Authorized Official Contact | 9197304763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Family Care Of Nc Llc 2515 Nc Hwy 55 Suite A Durham NC 27713 Ph: (919) 730-4763 | Innovative Family Care Of Nc Llc 2515 Nc Hwy 55 Suite A Durham NC 27713 Ph: (919) 730-4763 |
| NPI Number | 1750665766 |
|---|---|
| Provider Enumeration Date | 10/10/2011 |
| Last Update Date | 10/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750665766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 27390 (North Carolina) | Primary |
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