| King's Group Home | |
|
307 Stratford Dr Mebane NC 27302-9614 | |
| (919) 563-0477 | |
| Not Available |
| Full Name | King's Group Home |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 307 Stratford Dr, Mebane, North Carolina |
| Authorized Official Name and Position | Ruby King (ADMINISTRATOR) |
| Authorized Official Contact | 9195630477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King's Group Home 307 Stratford Dr Mebane NC 27302-9614 Ph: (919) 563-0477 | King's Group Home 307 Stratford Dr Mebane NC 27302-9614 Ph: (919) 563-0477 |
| NPI Number | 1669666293 |
|---|---|
| Provider Enumeration Date | 08/27/2007 |
| Last Update Date | 08/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669666293 | NPI | - | NPPES |
| 7804438 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MHL001082 (North Carolina) | Primary |
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