Transitions In Lyfe | |
173 Fairmont Cir Kannapolis NC 28083-7819 | |
(843) 260-4904 | |
(704) 469-4714 |
Full Name | Transitions In Lyfe |
---|---|
Speciality | Community/Behavioral Health |
Location | 173 Fairmont Cir, Kannapolis, North Carolina |
Authorized Official Name and Position | Candice Regina Johnson (CEO) |
Authorized Official Contact | 8432604904 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Transitions In Lyfe 173 Fairmont Cir Kannapolis NC 28083-7819 Ph: (843) 260-4904 | Transitions In Lyfe 173 Fairmont Cir Kannapolis NC 28083-7819 Ph: (843) 260-4904 |
NPI Number | 1700259926 |
---|---|
Provider Enumeration Date | 11/10/2015 |
Last Update Date | 11/10/2015 |
Medicare PECOS PAC ID | 9234540220 |
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Medicare Enrollment ID | O20201123003353 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700259926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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