| Person 1st Llc | |
|
318 New House Rd Ellenboro NC 28040-6765 | |
| (704) 692-6974 | |
| Not Available |
| Full Name | Person 1st Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 318 New House Rd, Ellenboro, North Carolina |
| Authorized Official Name and Position | Edward Allen Scruggs (PRESIDENT) |
| Authorized Official Contact | 7046926974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Person 1st Llc Po Box 427 Ellenboro NC 28040-0427 Ph: (704) 692-6974 | Person 1st Llc 318 New House Rd Ellenboro NC 28040-6765 Ph: (704) 692-6974 |
| NPI Number | 1134804289 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134804289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Family Preservation Services Of North Carolina, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 Piney Mountain Church Rd, Ellenboro, NC 28040 Phone: 704-344-0491 Fax: 704-344-0493 | |
Directcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Michelle Dr, Ellenboro, NC 28040 Phone: 828-305-4330 |