| Jewish Family Services | |
|
5509c W Friendly Ave Greensboro NC 27410-4211 | |
| (336) 852-4829 | |
| (336) 852-4346 |
| Full Name | Jewish Family Services |
|---|---|
| Speciality | Voluntary or Charitable |
| Location | 5509c W Friendly Ave, Greensboro, North Carolina |
| Authorized Official Name and Position | Marilyn Elise Forman Chandler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3368525433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Services 5509c W Friendly Ave Greensboro NC 27410-4211 Ph: (336) 852-4829 | Jewish Family Services 5509c W Friendly Ave Greensboro NC 27410-4211 Ph: (336) 852-4829 |
| NPI Number | 1871691220 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 03/29/2011 |
| Medicare PECOS PAC ID | 6901078104 |
|---|---|
| Medicare Enrollment ID | O20111012000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871691220 | NPI | - | NPPES |
| 140N9 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | C003902 (North Carolina) | Secondary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
| Provider Name | Janet H Kanode |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922434661 PECOS PAC ID: 5890112338 Enrollment ID: I20200831000166 |
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