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Organization
COUNTY OF CASWELL
Active
Organization
COUNTY OF CASWELL
Active
Other names
Caswell County Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ARMSTRONG EASTWOOD (HEALTH DIRECTOR)
(336) 694-4129
Entity
Organization
Contact information
Practice address
189 COUNTY PARK RD, YANCEYVILLE, NC 27379
(336) 694-9592
(336) 694-7450
Mailing address
189 COUNTY PARK RD, YANCEYVILLE, NC 27379
(336) 694-9592
(336) 694-7450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0489
NC
291U00000X
Clinical Medical Laboratory
34D1035350
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071E
BC BS
NC
05
—
3407175
—
NC
01
—
HC0489
HOME HEALTH LICENSE NO.
NC
Enumeration date
12/12/2006
Last updated
08/02/2021
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