| Michael's Angels House Of Resilience, Inc | |
|
2109 Saint Andrew St Ste 11 Tarboro NC 27886-2146 | |
| (919) 437-7234 | |
| (252) 563-5736 |
| Full Name | Michael's Angels House Of Resilience, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2109 Saint Andrew St Ste 11, Tarboro, North Carolina |
| Authorized Official Name and Position | Shanell Knight (CEO/DIRECTOR) |
| Authorized Official Contact | 9194377234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael's Angels House Of Resilience, Inc Po Box 1454 Tarboro NC 27886-1454 Ph: (919) 437-7234 | Michael's Angels House Of Resilience, Inc 2109 Saint Andrew St Ste 11 Tarboro NC 27886-2146 Ph: (919) 437-7234 |
| NPI Number | 1013732379 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013732379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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