| Jkm Community Services, Pllc | |
|
1997 Us 421 N Lillington NC 27546-7436 | |
| (910) 814-1081 | |
| (910) 814-1082 |
| Full Name | Jkm Community Services, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1997 Us 421 N, Lillington, North Carolina |
| Authorized Official Name and Position | John E. Sloan (LICENSE CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9194023421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jkm Community Services, Pllc 1997 Us 421 N Lillington NC 27546-7436 Ph: (910) 814-1081 | Jkm Community Services, Pllc 1997 Us 421 N Lillington NC 27546-7436 Ph: (910) 814-1081 |
| NPI Number | 1720451784 |
|---|---|
| Provider Enumeration Date | 11/12/2015 |
| Last Update Date | 11/12/2015 |
| Medicare PECOS PAC ID | 0941541221 |
|---|---|
| Medicare Enrollment ID | O20190415001758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720451784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C001434 (North Carolina) | Primary |
| Provider Name | John E Sloan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427109677 PECOS PAC ID: 2567426216 Enrollment ID: I20041112001054 |
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