Premier Service Of Carolina, Inc | |
109 Penny St Albemarle NC 28001 | |
(704) 985-1178 | |
(704) 985-0106 |
Full Name | Premier Service Of Carolina, Inc |
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Speciality | Psychiatric Residential Treatment Facility |
Location | 109 Penny St, Albemarle, North Carolina |
Authorized Official Name and Position | Warner Leak (PRESIDENT/CEO) |
Authorized Official Contact | 7049851189 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Service Of Carolina, Inc 109 Penny St Albemarle NC 28001-2803 Ph: (704) 985-1178 | Premier Service Of Carolina, Inc 109 Penny St Albemarle NC 28001 Ph: (704) 985-1178 |
NPI Number | 1053637710 |
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Provider Enumeration Date | 04/20/2010 |
Last Update Date | 08/14/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053637710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
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