| |
176 Rest Home Road Wilkesboro NC 28697 | |
(336) 973-3890 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 176 Rest Home Road, Wilkesboro, North Carolina |
Authorized Official Name and Position | Donna G. Duggins (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 8286593418 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1149 Nebo NC 28761-0964 Ph: (828) 659-3418 | 176 Rest Home Road Wilkesboro NC 28697 Ph: (336) 973-3890 |
NPI Number | 1639456676 |
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Provider Enumeration Date | 11/04/2011 |
Last Update Date | 11/28/2011 |
Identifier | Type | State | Issuer |
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1639456676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | HAL-097-013 (North Carolina) | Primary |
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