| Green Health Llc | |
|
1205 N Pollock St Lot 9 Selma NC 27576-5618 | |
| (804) 718-5440 | |
| Not Available |
| Full Name | Green Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1205 N Pollock St Lot 9, Selma, North Carolina |
| Authorized Official Name and Position | Chaddrick Chappell (CEO) |
| Authorized Official Contact | 8047185440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Health Llc 1205 N Pollock St Lot 9 Selma NC 27576-5618 Ph: (804) 718-5440 | Green Health Llc 1205 N Pollock St Lot 9 Selma NC 27576-5618 Ph: (804) 718-5440 |
| NPI Number | 1528636636 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Certification Date | 06/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528636636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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