| Invincible Community Based Services Llc | |
|
1015 Roanoke Ave Ste A Roanoke Rapids NC 27870-3721 | |
| (252) 541-1576 | |
| (252) 541-1577 |
| Full Name | Invincible Community Based Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1015 Roanoke Ave Ste A, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Katrina Laverne Macklin (OWNER; QUALIFIED PROFESSIONAL) |
| Authorized Official Contact | 2525411576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Invincible Community Based Services Llc 1015 Roanoke Ave Ste A Roanoke Rapids NC 27870-3721 Ph: (252) 541-1576 | Invincible Community Based Services Llc 1015 Roanoke Ave Ste A Roanoke Rapids NC 27870-3721 Ph: (252) 541-1576 |
| NPI Number | 1386895159 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 10/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386895159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C200815700098 (North Carolina) | Primary |
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