| Habilitation And Support Services, Inc | |
|
704 W Warren St Shelby NC 28150-5022 | |
| (704) 482-0299 | |
| (704) 487-5635 |
| Full Name | Habilitation And Support Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 704 W Warren St, Shelby, North Carolina |
| Authorized Official Name and Position | Tanzy B. Wallace (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7044820299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Habilitation And Support Services, Inc Po Box 596 Shelby NC 28151-0596 Ph: (704) 482-0299 | Habilitation And Support Services, Inc 704 W Warren St Shelby NC 28150-5022 Ph: (704) 482-0299 |
| NPI Number | 1124223946 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124223946 | NPI | - | NPPES |
| 8300178 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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