| Rose Of Sharon | |
|
401 Jackson Park Rd Kannapolis NC 28083-3655 | |
| (704) 252-4094 | |
| Not Available |
| Full Name | Rose Of Sharon |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 401 Jackson Park Rd, Kannapolis, North Carolina |
| Authorized Official Name and Position | Sharon Edwards Berryman (OWNER) |
| Authorized Official Contact | 7042524094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Of Sharon 1185 Dale Earnhardt Blvd Kannapolis NC 28083-3201 Ph: () - | Rose Of Sharon 401 Jackson Park Rd Kannapolis NC 28083-3655 Ph: (704) 252-4094 |
| NPI Number | 1811242480 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811242480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MHL-013-170 (North Carolina) | Primary |
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