| Golden Footprint Llc | |
|
108 S Bragg St Suite 6 Warrenton NC 27589-2048 | |
| (919) 271-8146 | |
| (919) 460-0776 |
| Full Name | Golden Footprint Llc |
|---|---|
| Speciality | Case Management |
| Location | 108 S Bragg St, Warrenton, North Carolina |
| Authorized Official Name and Position | Leonard Smith (CEO) |
| Authorized Official Contact | 9192718146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Footprint Llc 718 N Harrison Ave Cary NC 27513-5431 Ph: (919) 271-8146 | Golden Footprint Llc 108 S Bragg St Suite 6 Warrenton NC 27589-2048 Ph: (919) 271-8146 |
| NPI Number | 1508029604 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508029604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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