Organization
KENNEDY INTENSIVE INHOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA KENNEDY (OWNER)
(803) 367-6797
Entity
Organization
Contact information
Practice address
107 W WADE STREET, SUITE 107-H, WADESBORO, NC 28170-2177
(803) 367-6797
Mailing address
809 REDWOOD LN, CHESTER, SC 29706-3769
(803) 367-6797
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/23/2009
Last updated
08/21/2009
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