| |
2239 Walker Avenue, Burlington, NC 27215-4520 | |
(336) 213-4001 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Case Management |
Location | 2239 Walker Avenue, Burlington, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912198383 | NPI | - | NPPES |
13295 | Other | NC | BLUECROSSBLUESHIELD/NC |
7210809 | Medicaid | NC | |
7411651 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | NC LICENSE 1778 (North Carolina) | Secondary |
251B00000X | Case Management | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2239 Walker Avenue, Burlington, NC 27215-4520 Ph: (336) 213-4001 | 2239 Walker Avenue, Burlington, NC 27215-4520 Ph: (336) 213-4001 |