| Rula Health | |
|
110 N Corcoran St Fl 5 Durham NC 27701-5015 | |
| (323) 205-7088 | |
| Not Available |
| Full Name | Rula Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 110 N Corcoran St Fl 5, Durham, North Carolina |
| Authorized Official Name and Position | Josh Bruno (AUTHORIZED AGENT) |
| Authorized Official Contact | 3232057088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rula Health Po Box 746878 Atlanta GA 30374-6878 Ph: (323) 205-7088 | Rula Health 110 N Corcoran St Fl 5 Durham NC 27701-5015 Ph: (323) 205-7088 |
| NPI Number | 1801472634 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 8921466228 |
|---|---|
| Medicare Enrollment ID | O20230619001228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801472634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer D Paveglio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548838600 PECOS PAC ID: 4688067887 Enrollment ID: I20220211000269 |
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