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Organization
HERTFORD COUNTY PUBLIC HEALTH AUTHORITY
Active
Organization
HERTFORD COUNTY PUBLIC HEALTH AUTHORITY
Active
Other names
Hertford-Gates Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE MCLAWHORN RN (INTERIM HEALTH DIRECTOR)
(252) 862-4054
Entity
Organization
Contact information
Practice address
704 EVANS ST, AHOSKIE, NC 27910-9592
(252) 332-6747
(252) 332-5089
Mailing address
704 EVANS ST, AHOSKIE, NC 27910-9592
(252) 332-6747
(252) 332-5089
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0504
NC
251E00000X
Home Health Agency
HC1062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00741
BLUE CROSS/BLUE SHIELD
NC
05
—
341-7049
—
NC
Enumeration date
06/23/2005
Last updated
01/04/2010
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