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Organization

MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT

Active
Other names
Roanoke Home Care & Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE W DAVIS RN (HOME CARE DIRECTOR)
(252) 791-3145
Entity
Organization

Contact information

Practice address
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962-9232
(252) 791-3138
(252) 791-3158
Mailing address
198 NC HIGHWAY 45 N, PLYMOUTH, NC 27962-9232
(252) 791-3138
(252) 791-3158

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0523
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00753
BLUE CROSS BLUE SHIELD
NC
05
3407008
NC
Enumeration date
08/16/2005
Last updated
11/29/2022
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