Organization
MARTIN-TYRRELL-WASHINGTON DISTRICT HEALTH DEPARTMENT
Active
Other names
Roanoke Home Care & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DAVIS RN (HOME CARE DIRECTOR)
(252) 791-3152
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
251G00000X
Community Based Hospice Care Agency
Primary
HC0523
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024A
BLUE CROSS BLUE SHIELD
NC
05
—
3401572
—
NC
Enumeration date
08/16/2005
Last updated
08/22/2020
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