| 503 Park Lane | |
|
505 S Main Ave Newton NC 28658-3422 | |
| (828) 464-1857 | |
| (704) 864-2347 |
| Full Name | 503 Park Lane |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 505 S Main Ave, Newton, North Carolina |
| Authorized Official Name and Position | Jennifer D Lozano (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 4043642900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 503 Park Lane 1819 Peachtree Rd Ne Ste 450 Atlanta GA 30309-1848 Ph: (404) 364-2900 | 503 Park Lane 505 S Main Ave Newton NC 28658-3422 Ph: (828) 464-1857 |
| NPI Number | 1376824094 |
|---|---|
| Provider Enumeration Date | 09/08/2011 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376824094 | NPI | - | NPPES |
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Maiden Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1754 Getrag Pkwy, Newton, NC 28658 Phone: 828-428-0061 Fax: 828-428-3600 | |
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