Kiononia Group Home Services, Llc | |
507 Tobacco Rd Rocky Mount NC 27801-6936 | |
(252) 266-5496 | |
Not Available |
Full Name | Kiononia Group Home Services, Llc |
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Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
Location | 507 Tobacco Rd, Rocky Mount, North Carolina |
Authorized Official Name and Position | Pamela L Foreman (DIRECTOR) |
Authorized Official Contact | 2522665496 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kiononia Group Home Services, Llc 1444 Jeffreys Road Pmb 273 Rocky Mount NC 27804 Ph: (252) 266-5496 | Kiononia Group Home Services, Llc 507 Tobacco Rd Rocky Mount NC 27801-6936 Ph: (252) 266-5496 |
NPI Number | 1396095147 |
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Provider Enumeration Date | 09/19/2012 |
Last Update Date | 09/19/2012 |
Identifier | Type | State | Issuer |
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1396095147 | NPI | - | NPPES |
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