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NPI Code Detail

MEDICARE: INFINITY SUPPORT SERVICES, LLC

MEDICARE: INFINITY SUPPORT SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1437811536
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFINITY SUPPORT SERVICES, LLC
Provider Business Mailing Address
First Line : 3300B SUMMIT AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-3552
Country : US
Telephone Number : 336-253-2677
Fax Number :
Provider Business Practice Location Address
First Line : 3300B SUMMIT AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-3552
Country : US
Telephone Number : 336-253-2677
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOPPA JOANNA PENN
Credential : QDDP
Telephone Number : 336-253-2677
Provider Enumeration Date : 10/06/2021
Last Update Date : 02/22/2024

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Directions to “INFINITY SUPPORT SERVICES, LLC ” Practice Location

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