Organization
HOPE COTTAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL C YATES RN, CFM (OWNER)
(910) 944-2255
Entity
Organization
Contact information
Practice address
430 MAGNOLIA SQUARE CT, ABERDEEN, NC 28315-2228
(910) 944-2255
Mailing address
430 MAGNOLIA SQUARE CT, ABERDEEN, NC 28315-2228
(910) 944-2255
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9080229
FIRSTMEDICARE DIRECT
NC
01
—
FH6000365
FIRST CAROLINA CARE PROVIDER NUMBER
NC
Enumeration date
05/19/2008
Last updated
05/08/2013
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