| St. Mary's Home Care Services, Inc. | |
|
1910 Sedwick Rd Suite 500b Durham NC 27713-7807 | |
| (919) 363-1462 | |
| (919) 367-9474 |
| Full Name | St. Mary's Home Care Services, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1910 Sedwick Rd, Durham, North Carolina |
| Authorized Official Name and Position | Elton Joseph (PRESIDENT) |
| Authorized Official Contact | 9192747282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's Home Care Services, Inc. Po Box 16104 Greensboro NC 27416-0104 Ph: (414) 628-0439 | St. Mary's Home Care Services, Inc. 1910 Sedwick Rd Suite 500b Durham NC 27713-7807 Ph: (919) 363-1462 |
| NPI Number | 1184976839 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 10/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184976839 | NPI | - | NPPES |
| 6600781 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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