Organization
HENDERSON/VANCE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM E CHATMAN (VP FINANCE CFO)
(252) 436-1101
Entity
Organization
Contact information
Practice address
566 RUIN CREEK RD, HENDERSON, NC 27536-2927
(252) 438-4143
Mailing address
566 RUIN CREEK RD, HENDERSON, NC 27536-2927
(252) 438-4143
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
H0267
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400132T
—
NC
Enumeration date
12/08/2006
Last updated
12/21/2011
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