# PELHAM HOME HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pelham Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568603918
- **Authorized official:** MILDRED C WILSON RNC,BSN (DIRECTOR)
- **Authorized official phone:** (910) 630-6757

## Contact information

- **Practice address:** 1224 SCYTHIA DRIVE, WILSON, NC 28793-4748
- **Practice address phone:** (252) 291-4984
- **Practice address fax:** (252) 291-4985
- **Mailing address:** PO BOX 9754, FAYETTEVILLE, NC 28311-9091
- **Mailing address phone:** (910) 630-6757
- **Mailing address fax:** (910) 884-9806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HC3189 | NC | Yes |

## Other

- **Enumeration date:** 03/16/2009
- **Last updated:** 03/16/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6601406 | — | NC |