| Royal Minds Inc | |
|
2300 W Meadowview Rd Bldg Suite120 Greensboro NC 27407-3720 | |
| (336) 763-9200 | |
| Not Available |
| Full Name | Royal Minds Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2300 W Meadowview Rd Bldg Suite120, Greensboro, North Carolina |
| Authorized Official Name and Position | Al Muftau Adeite (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2404861238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Minds Inc 2300 W Meadowview Rd Bldg Suite120 Greensboro NC 27407-3720 Ph: () - | Royal Minds Inc 2300 W Meadowview Rd Bldg Suite120 Greensboro NC 27407-3720 Ph: (336) 763-9200 |
| NPI Number | 1558096487 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Medicare PECOS PAC ID | 6103200878 |
|---|---|
| Medicare Enrollment ID | O20221116002801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558096487 | NPI | - | NPPES |
| Provider Name | Takela N Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023342144 PECOS PAC ID: 3971630542 Enrollment ID: I20100430000211 |
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