Organization
HAIRSTON ELDERCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERINE HAIRSTON (OWNER/PRESIDENT)
(910) 895-7991
Entity
Organization
Contact information
Practice address
325 S LONG DR, ROCKINGHAM, NC 28379-3991
(910) 895-7991
(910) 895-7993
Mailing address
PO BOX 2784, ROCKINGHAM, NC 28380-2784
(910) 895-7991
(910) 895-7993
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
7796
NC
1041C0700X
Clinical Social Worker
P008668
NC
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
04/01/2014
Last updated
06/24/2014
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