| Kennedy Intensive Inhome Services | |
|
107 E Wade St Ste C Suite H Wadesboro NC 28170-2278 | |
| (704) 694-6693 | |
| (704) 694-9164 |
| Full Name | Kennedy Intensive Inhome Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 E Wade St Ste C, Wadesboro, North Carolina |
| Authorized Official Name and Position | Veronica Davis K Kennedy (OWNER) |
| Authorized Official Contact | 8033676797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Intensive Inhome Services 107 E Wade St Ste C Suite H Wadesboro NC 28170-2278 Ph: (704) 694-6693 | Kennedy Intensive Inhome Services 107 E Wade St Ste C Suite H Wadesboro NC 28170-2278 Ph: (704) 694-6693 |
| NPI Number | 1831426519 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 11/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831426519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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