Look up the most recent NPI and PECOS records

Key Autism Services Nc, Llc

Community/Behavioral Health

Agencies

8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965

PECOS Enrollment

Based on the most recent information from CMS, provider Key Autism Services Nc, Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1770138265
Provider Type
Organization
Full Name
Key Autism Services Nc, Llc

Subpart
No
Enumeration Date
8/2/2019
Last Updated
10/31/2023

Contact Information

Practice Location

8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965

(857) 829-4040

Unlisted Fax

Mailing Location

1385 Hwy 35 # 284, Middletown, NJ 07748-2012

Unlisted Phone

Unlisted Fax

Authorized Official

Harper, Mark (Dir Of Operations)

(857) 829-4040

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer

Key Autism Services Nc, Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

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