| Supportive Living Concepts, Inc. | |
|
1929 Roanoke Ave Roanoke Rapids NC 27870-4333 | |
| (252) 537-4888 | |
| (252) 537-4811 |
| Full Name | Supportive Living Concepts, Inc. |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 1929 Roanoke Ave, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Quentin M Dinkins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2524423650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Living Concepts, Inc. 1929 Roanoke Ave Roanoke Rapids NC 27870-4333 Ph: (252) 537-4888 | Supportive Living Concepts, Inc. 1929 Roanoke Ave Roanoke Rapids NC 27870-4333 Ph: (252) 537-4888 |
| NPI Number | 1730250317 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730250317 | NPI | - | NPPES |
| 8301517B | Medicaid | NC | |
| 3408741 | Medicaid | NC | |
| 8301517G | Medicaid | NC |
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