Organization
IDELLA'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUNICE HART PRESIDENT (OWNER)
(252) 213-6081
Entity
Organization
Contact information
Practice address
1015 F8 SPRING FOREST RD, GREENVILLE, NC 27834
(252) 213-6081
Mailing address
912 PRISTINE LN, ROLESVILLE, NC 27571-9307
(252) 213-6081
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
08/29/2018
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