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Organization
NORTHERN HOME CARE
Active
Organization
NORTHERN HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY J. ZIZZAMIA JR. RN (PRESIDENT/EXECUTIVE DIRECTOR)
(910) 815-3122
Entity
Organization
Contact information
Practice address
1401 BOGGS DR, MOUNT AIRY, NC 27030-2147
(336) 719-7434
(336) 719-7435
Mailing address
2334 S 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
(910) 815-3111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003471721
—
NC
01
—
0075A
BLUE CROSS
NC
05
—
3407172
—
NC
05
—
3408332
—
NC
01
—
6000823
UNITED HEALTH CARE
NC
01
—
PARTNERS
PARTNERS
NC
Enumeration date
08/23/2005
Last updated
05/04/2009
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