Person 1st Llc | |
318 New House Rd Ellenboro NC 28040-6765 | |
(704) 692-6974 | |
Not Available |
Full Name | Person 1st Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 318 New House Rd, Ellenboro, North Carolina |
Authorized Official Name and Position | Edward Allen Scruggs (PRESIDENT) |
Authorized Official Contact | 7046926974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Person 1st Llc Po Box 427 Ellenboro NC 28040-0427 Ph: (704) 692-6974 | Person 1st Llc 318 New House Rd Ellenboro NC 28040-6765 Ph: (704) 692-6974 |
NPI Number | 1134804289 |
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Provider Enumeration Date | 06/16/2023 |
Last Update Date | 07/11/2023 |
Certification Date | 07/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134804289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Ellenboro Elementary Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 Piney Mountain Church Rd, Ellenboro, NC 28040 Phone: 704-344-0491 Fax: 704-344-0493 |