| Prophet's House Llc | |
|
7917 Main Street Vanceboro NC 28586 | |
| (252) 244-0040 | |
| Not Available |
| Full Name | Prophet's House Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7917 Main Street, Vanceboro, North Carolina |
| Authorized Official Name and Position | Luckea Benston (OWNER) |
| Authorized Official Contact | 2522273036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prophet's House Llc Po Box 3050 Greenville NC 27836-1050 Ph: (252) 227-3036 | Prophet's House Llc 7917 Main Street Vanceboro NC 28586 Ph: (252) 244-0040 |
| NPI Number | 1942528054 |
|---|---|
| Provider Enumeration Date | 05/13/2010 |
| Last Update Date | 05/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942528054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Monarch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 James Street, Vanceboro, NC 28586 Phone: 252-244-0048 Fax: 252-244-6889 |