Lifesource Of North Carolina | |
600 Main St S Minot ND 58701-4499 | |
(910) 742-9243 | |
(888) 746-1787 |
Full Name | Lifesource Of North Carolina |
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Speciality | Social Worker - Clinical |
Location | 600 Main St S, Minot, North Dakota |
Authorized Official Name and Position | Peggy Baddour (PRESIDENT) |
Authorized Official Contact | 9103382882 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifesource Of North Carolina Po Box 538622 Atlanta GA 30353-8622 Ph: (910) 742-9243 | Lifesource Of North Carolina 600 Main St S Minot ND 58701-4499 Ph: (910) 742-9243 |
NPI Number | 1174168496 |
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Provider Enumeration Date | 11/11/2019 |
Last Update Date | 03/25/2021 |
Certification Date | 03/25/2021 |
Identifier | Type | State | Issuer |
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1174168496 | NPI | - | NPPES |
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