Organization
COUNTY OF BLADEN OFFICE OF AUDITOR
Active
Other names
Bladen County Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DJUANA REGISTER (ADMINISTRATIVE OFFICER)
(910) 872-6209
Entity
Organization
Contact information
Practice address
300 MERCER ROAD, ELIZABETHTOWN, NC 28337-0189
(910) 862-6901
(910) 862-6886
Mailing address
PO BOX 189, ELIZABETHTOWN, NC 28337-0189
(910) 862-6901
(910) 862-6886
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
HC0481
NC
251E00000X
Home Health Agency
Primary
HC0481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00707
BLUE CROSS BLUE SHIELD
NC
05
—
3407097
—
NC
01
—
34D0655367
CLIA
NC
Enumeration date
12/11/2006
Last updated
12/11/2015
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