| Blu Roses Garden Llc | |
|
1116 Junction Rd Mocksville NC 27028-5324 | |
| (336) 791-6556 | |
| Not Available |
| Full Name | Blu Roses Garden Llc |
|---|---|
| Speciality | Case Management |
| Location | 1116 Junction Rd, Mocksville, North Carolina |
| Authorized Official Name and Position | Shamika Yolanda Pompey (SOCIAL WORKER) |
| Authorized Official Contact | 3367916556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blu Roses Garden Llc 1116 Junction Rd Mocksville NC 27028-5324 Ph: (336) 791-6556 | Blu Roses Garden Llc 1116 Junction Rd Mocksville NC 27028-5324 Ph: (336) 791-6556 |
| NPI Number | 1144117433 |
|---|---|
| Provider Enumeration Date | 06/20/2025 |
| Last Update Date | 06/24/2025 |
| Certification Date | 06/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144117433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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