| Living Family Supportive Services | |
|
2538 West Dixon Blvd. Shelby NC 28150 | |
| (704) 606-1575 | |
| Not Available |
| Full Name | Living Family Supportive Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2538 West Dixon Blvd., Shelby, North Carolina |
| Authorized Official Name and Position | Monica Latenda Ferrer (CEO) |
| Authorized Official Contact | 7046061575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Family Supportive Services 2538 W Dixon Blvd Shelby NC 28152-9007 Ph: (704) 606-1575 | Living Family Supportive Services 2538 West Dixon Blvd. Shelby NC 28150 Ph: (704) 606-1575 |
| NPI Number | 1306217666 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 10/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306217666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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