| Meadow Waves | |
|
3280 Nc Hwy 69 Suite 4e Hayesville NC 28904-6957 | |
| (828) 421-8199 | |
| Not Available |
| Full Name | Meadow Waves |
|---|---|
| Speciality | Social Worker |
| Location | 3280 Nc Hwy 69, Hayesville, North Carolina |
| Authorized Official Name and Position | Jessica Rich (OWNER/CLINICIAN) |
| Authorized Official Contact | 8284218199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadow Waves Po Box 434 Hayesville NC 28904-0434 Ph: (828) 421-8199 | Meadow Waves 3280 Nc Hwy 69 Suite 4e Hayesville NC 28904-6957 Ph: (828) 421-8199 |
| NPI Number | 1952006868 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Medicare PECOS PAC ID | 1456704147 |
|---|---|
| Medicare Enrollment ID | O20240130000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952006868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica Rich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932697018 PECOS PAC ID: 9931454279 Enrollment ID: I20240130000757 |
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