| Luckie Products And Goods | |
|
45 W Holden Rd Brevard NC 28712-5527 | |
| (828) 773-8628 | |
| Not Available |
| Full Name | Luckie Products And Goods |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 45 W Holden Rd, Brevard, North Carolina |
| Authorized Official Name and Position | Cary Hitchcock (ORGANIZER) |
| Authorized Official Contact | 8284073710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luckie Products And Goods 757 Haywood Rd Asheville NC 28806-3132 Ph: (828) 407-3710 | Luckie Products And Goods 45 W Holden Rd Brevard NC 28712-5527 Ph: (828) 773-8628 |
| NPI Number | 1669007092 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669007092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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