| Kingdom Logistics Group, Llc | |
|
1548 Ellie Ave Fayetteville NC 28314-8523 | |
| (910) 391-6536 | |
| Not Available |
| Full Name | Kingdom Logistics Group, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1548 Ellie Ave, Fayetteville, North Carolina |
| Authorized Official Name and Position | Larissa Harris (MANAGER) |
| Authorized Official Contact | 9103916536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Logistics Group, Llc 342 Ray Ave Ste 6 Fayetteville NC 28301-5058 Ph: () - | Kingdom Logistics Group, Llc 1548 Ellie Ave Fayetteville NC 28314-8523 Ph: (910) 391-6536 |
| NPI Number | 1083435481 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083435481 | NPI | - | NPPES |
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