| Kingdom Care Services, Llc | |
|
1710 Westbrook Ave Burlington NC 27215-8721 | |
| (336) 270-5124 | |
| (336) 270-5125 |
| Full Name | Kingdom Care Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1710 Westbrook Ave, Burlington, North Carolina |
| Authorized Official Name and Position | Tequita C Obie (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3362705124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Care Services, Llc 1710 Westbrook Ave Burlington NC 27215-8721 Ph: (336) 270-5124 | Kingdom Care Services, Llc 1710 Westbrook Ave Burlington NC 27215-8721 Ph: (336) 270-5124 |
| NPI Number | 1952629164 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 05/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952629164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-001-193 (North Carolina) | Primary |
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