| Supportive Homes Inc. | |
|
120 Roper St Belmont NC 28012-2119 | |
| (704) 214-2094 | |
| Not Available |
| Full Name | Supportive Homes Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 Roper St, Belmont, North Carolina |
| Authorized Official Name and Position | Geneva Moore (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7042142094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Homes Inc. 120 Roper St Belmont NC 28012-2119 Ph: (704) 214-2094 | Supportive Homes Inc. 120 Roper St Belmont NC 28012-2119 Ph: (704) 214-2094 |
| NPI Number | 1902375645 |
|---|---|
| Provider Enumeration Date | 11/23/2018 |
| Last Update Date | 11/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902375645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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