Organization
A SILVER SPOON HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY RENEE SILVER RN (AGENCY DIRECTOR)
(252) 567-1972
Entity
Organization
Contact information
Practice address
3208 SUNSET AVE, SUITE C, ROCKY MOUNT, NC 27804-3590
(252) 567-1972
Mailing address
3208 SUNSET AVE, SUITE C, ROCKY MOUNT, NC 27804-3590
(252) 567-1972
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC4135
—
NC
Enumeration date
09/19/2012
Last updated
02/13/2014
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