Organization
THE WILLIS FAMILY HOME CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH ANN WEATHERS OWNER (PRESIDENT)
(863) 386-1609
Entity
Organization
Contact information
Practice address
1300 W THOMAS ST, ROCKY MOUNT, NC 27804-4331
(252) 231-0632
Mailing address
1811 SANDTRAP CT, SEBRING, FL 33872-3875
(863) 386-1609
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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