Organization
MARY B HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN BARNHILL (CEO)
(252) 972-4080
Entity
Organization
Contact information
Practice address
1107 N FAIRVIEW RD, ROCKY MOUNT, NC 27801-6291
(252) 972-4080
(252) 972-3380
Mailing address
PO BOX 909, ROCKY MOUNT, NC 27802-0909
(252) 972-4080
(252) 972-3380
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2820
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408364
—
NC
05
—
6601202
—
NC
Enumeration date
03/07/2007
Last updated
06/19/2008
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