Organization
GREEN RURAL REDEVELOPMENT ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH WILLIAMS MODESTE (CHEIF FINANCIAL OFFICER)
(252) 432-5585
Entity
Organization
Contact information
Practice address
300 W PARKVIEW DR, HENDERSON, NC 27536-5954
(252) 226-5355
Mailing address
300 W PARKVIEW DR, HENDERSON, NC 27536-5954
(252) 226-5355
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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