| Old 60 Home | |
|
258 Old Highway 60 Wilkesboro NC 28697-9561 | |
| (404) 364-2900 | |
| (404) 364-2901 |
| Full Name | Old 60 Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 258 Old Highway 60, Wilkesboro, North Carolina |
| Authorized Official Name and Position | Jennifer D Lozano (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 4043642900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old 60 Home 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | Old 60 Home 258 Old Highway 60 Wilkesboro NC 28697-9561 Ph: (404) 364-2900 |
| NPI Number | 1174944292 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 10/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174944292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Forest Hill Afl Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Forest Hill Dr, Wilkesboro, NC 28697 Phone: 336-546-8702 | |
Jodi Province Counseling Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1260 College Ave Ste 1, Wilkesboro, NC 28697 Phone: 336-818-0733 Fax: 336-818-0734 | |
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