Organization
KENNEDY INTENSIVE IN HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA KENNEDY (OWNER)
(803) 367-6797
Entity
Organization
Contact information
Practice address
107 E WADE ST STE C, SUITE H, WADESBORO, NC 28170-2278
(803) 367-6797
Mailing address
107 E WADE ST STE C, SUITE H, WADESBORO, NC 28170-2278
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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