OrganizationDove Supportive Services, LlcCommunity/Behavioral HealthAgenciesPractice Address3900 Barrett Dr, Ste. 101, Raleigh, NC 27609-6641(919) 786-4388PECOS EnrollmentBased on the most recent information from CMS, provider Dove Supportive Services, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1568530061Provider TypeOrganizationFull NameDove Supportive Services, LlcSubpartNoEnumeration Date12/1/2006Last Updated6/5/2008Contact InformationPractice LocationPractice Address3900 Barrett Dr, Ste. 101, Raleigh, NC 27609-6641Phone(919) 786-4388Fax(919) 786-4399Mailing LocationMailing Address3900 Barrett Dr Ste 101, Raleigh, NC 27609-6614Phone(919) 786-4388Fax(919) 786-4399Authorized OfficialNamePatterson, Nanette Floyd (Director/Ceo)Phone(919) 786-4388Provider TaxonomiesCodeDescriptionLicenseCode251S00000XPrimaryDescriptionCommunity/Behavioral HealthAgenciesLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID8301564DescriptionMedicaidIssuerUnlistedNorth Carolina