Organization
GATE CITY OF BURLINGTON
Active
Other names
Visiting Angels
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE CHAMBERS (OWNER)
(336) 270-7061
Entity
Organization
Contact information
Practice address
2603 HOLLY HILL STREET, BURLINGTON, NC 27215
(336) 270-7061
Mailing address
2603 HOLLY HILL ST, BURLINGTON, NC 27215-5156
(336) 270-7061
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4039
NC
305R00000X
Preferred Provider Organization
HC4039
NC
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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