| Kennedy Home | |
|
2557 Cedar Dell Ln Kinston NC 28504-9113 | |
| (252) 522-0811 | |
| (252) 527-4422 |
| Full Name | Kennedy Home |
|---|---|
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
| Location | 2557 Cedar Dell Ln, Kinston, North Carolina |
| Authorized Official Name and Position | Samual V. Barefoot (TREASURER CFO) |
| Authorized Official Contact | 3364741224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Home 204 Idol St Po Box 338 Thomasville NC 27360-4514 Ph: (336) 474-1276 | Kennedy Home 2557 Cedar Dell Ln Kinston NC 28504-9113 Ph: (252) 522-0811 |
| NPI Number | 1689713513 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689713513 | NPI | - | NPPES |
| 6005678 | Medicaid | NC |
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