Omni Family Of Services North Carolina Inc. | |
505 Brookdale Dr Statesville NC 28677-4107 | |
(704) 549-1014 | |
Not Available |
Full Name | Omni Family Of Services North Carolina Inc. |
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Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
Location | 505 Brookdale Dr, Statesville, North Carolina |
Authorized Official Name and Position | Brelyn Reed (SPECIAL PROJECTS COORDINATOR) |
Authorized Official Contact | 8008518905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Omni Family Of Services North Carolina Inc. 301 S Perimeter Park Dr Suite 210 Nashville TN 37211-4143 Ph: (615) 726-3603 | Omni Family Of Services North Carolina Inc. 505 Brookdale Dr Statesville NC 28677-4107 Ph: (704) 549-1014 |
NPI Number | 1144398280 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 07/18/2024 |
Certification Date | 07/18/2024 |
Identifier | Type | State | Issuer |
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1144398280 | NPI | - | NPPES |
3408630 | Medicaid | NC |
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