Organization
ALBERTA PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN DEREK MITCHELL BS (OPERATIONS MANAGER)
(336) 273-2640
Entity
Organization
Contact information
Practice address
3107 S ELM EUGENE ST, GREENSBORO, NC 27406-5201
(336) 273-2640
(336) 273-6522
Mailing address
PO BOX 14884, GREENSBORO, NC 27415-4884
(336) 273-2640
(336) 273-6522
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418317
—
NC
Enumeration date
01/25/2016
Last updated
01/25/2016
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