| Valley Center For Life Enrichment, Pllc | |
|
600 Jackson St Ste B Roanoke Rapids NC 27870-2646 | |
| (252) 308-0744 | |
| (252) 308-0092 |
| Full Name | Valley Center For Life Enrichment, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 600 Jackson St Ste B, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Brenna Carpenter (OWNER) |
| Authorized Official Contact | 2526766636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Center For Life Enrichment, Pllc 600 Jackson St Ste B Roanoke Rapids NC 27870-2646 Ph: (252) 676-6636 | Valley Center For Life Enrichment, Pllc 600 Jackson St Ste B Roanoke Rapids NC 27870-2646 Ph: (252) 308-0744 |
| NPI Number | 1831464379 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 10/14/2022 |
| Certification Date | 10/14/2022 |
| Medicare PECOS PAC ID | 3375786908 |
|---|---|
| Medicare Enrollment ID | O20130830000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831464379 | NPI | - | NPPES |
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