| Prolific Community Resources | |
|
2515 Phillips Ave Ste A Greensboro NC 27405-5357 | |
| (336) 542-0581 | |
| (336) 542-0464 |
| Full Name | Prolific Community Resources |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 2515 Phillips Ave Ste A, Greensboro, North Carolina |
| Authorized Official Name and Position | Megan Commedo Moravian (ADMINISTRATOR) |
| Authorized Official Contact | 3365420581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prolific Community Resources 2515 Phillips Ave Ste A Greensboro NC 27405-5357 Ph: (336) 542-0581 | Prolific Community Resources 2515 Phillips Ave Ste A Greensboro NC 27405-5357 Ph: (336) 542-0581 |
| NPI Number | 1710489976 |
|---|---|
| Provider Enumeration Date | 03/05/2018 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710489976 | NPI | - | NPPES |
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