| King Prestige Services Llc | |
|
294 Church St N Concord NC 28025-4571 | |
| (980) 258-9316 | |
| (704) 960-4520 |
| Full Name | King Prestige Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 294 Church St N, Concord, North Carolina |
| Authorized Official Name and Position | Carlisa Booker (OWNER) |
| Authorized Official Contact | 9802589316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Prestige Services Llc 294 Church St N Concord NC 28025-4571 Ph: (980) 258-9316 | King Prestige Services Llc 294 Church St N Concord NC 28025-4571 Ph: (980) 258-9316 |
| NPI Number | 1710571617 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710571617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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