Triad Life Services, Llc | |
1135 Vaughn Rd Burlington NC 27217-2733 | |
(336) 227-9028 | |
Not Available |
Full Name | Triad Life Services, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1135 Vaughn Rd, Burlington, North Carolina |
Authorized Official Name and Position | Cassandra Phillipia Harvey (OWNER) |
Authorized Official Contact | 3363500775 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Triad Life Services, Llc 1135 Vaughn Rd Burlington NC 27217-2733 Ph: (336) 227-9028 | Triad Life Services, Llc 1135 Vaughn Rd Burlington NC 27217-2733 Ph: (336) 227-9028 |
NPI Number | 1154645513 |
---|---|
Provider Enumeration Date | 03/15/2010 |
Last Update Date | 03/15/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154645513 | NPI | - | NPPES |
1235377375 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MHL001189 (North Carolina) | Primary |
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