Organization
TSH-MT OLIVE PCS
Active
Parent organization
TRISOUTH HEALTH SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRISOUTH HEALTH SERVICES, INC
Authorized official
VERONICA SOUTHERLAND RN, BSW (ADMINISTRATOR)
(704) 493-3422
Entity
Organization
Contact information
Practice address
212 NE CENTER ST, MOUNT OLIVE, NC 28365-1702
(704) 525-2505
(704) 525-2506
Mailing address
PO BOX 242036, CHARLOTTE, NC 28224-2036
(704) 525-2505
(704) 525-2506
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3888
NC
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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