| Triple Play Farm, Llc | |
|
19516 Kistler Farm Rd Davidson NC 28036-9067 | |
| (704) 608-8441 | |
| Not Available |
| Full Name | Triple Play Farm, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19516 Kistler Farm Rd, Davidson, North Carolina |
| Authorized Official Name and Position | Kristen Debolt Batchelor (OWNER/OPERATOR) |
| Authorized Official Contact | 7046088441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triple Play Farm, Llc 19516 Kistler Farm Rd Davidson NC 28036-9067 Ph: (704) 608-8441 | Triple Play Farm, Llc 19516 Kistler Farm Rd Davidson NC 28036-9067 Ph: (704) 608-8441 |
| NPI Number | 1194140699 |
|---|---|
| Provider Enumeration Date | 02/20/2014 |
| Last Update Date | 02/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194140699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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