Organization
PELHAM HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILDRED C WILSON (DIRECTOR)
(910) 630-6757
Entity
Organization
Contact information
Practice address
949 COUNTRY CLUB DR, FAYETTEVILLE, NC 28301-2907
(910) 630-6757
(910) 884-9806
Mailing address
PO BOX 9754, FAYETTEVILLE, NC 28311-9091
(910) 630-6757
(910) 884-9806
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1859
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409245
—
NC
Enumeration date
03/17/2009
Last updated
04/27/2009
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