| Supportiv Hearts | |
|
131 Huntington Rd Louisburg NC 27549-7435 | |
| (252) 915-6654 | |
| Not Available |
| Full Name | Supportiv Hearts |
|---|---|
| Speciality | Custodial Care Facility - Adult Care Home |
| Location | 131 Huntington Rd, Louisburg, North Carolina |
| Authorized Official Name and Position | Cassandra Davis (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 2529156654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportiv Hearts 502 Ford Cir Louisburg NC 27549-2230 Ph: () - | Supportiv Hearts 131 Huntington Rd Louisburg NC 27549-7435 Ph: (252) 915-6654 |
| NPI Number | 1194344341 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194344341 | NPI | - | NPPES |
| FCL035033 | Medicaid | NC |
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