Organization
COMMUNITY HOME CARE AND HOSPICE JOHNSTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HALE JDRN (CORPORATE ATTORNEY)
(252) 467-1393
Entity
Organization
Contact information
Practice address
800 TIFFANY BLVD, SUITE 209, ROCKY MOUNT, NC 27804-1946
(252) 467-1393
(252) 937-2647
Mailing address
800 TIFFANY BLVD, SUITE 209, ROCKY MOUNT, NC 27804-1946
(252) 467-1393
(252) 937-2647
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001E8
BLUE CROSS BLUE SHIELD
NC
05
—
3401588
—
NC
Enumeration date
07/01/2006
Last updated
08/22/2020
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