Organization
SAMPSON COUNTY DEPARTMENT OF AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORIE BULLARD SUTTON (DIRECTOR)
(910) 592-4653
Entity
Organization
Contact information
Practice address
371 ROWAN RD, CLINTON, NC 28328-4727
(910) 592-4653
(910) 590-2142
Mailing address
371 ROWAN RD, CLINTON, NC 28328-4727
(910) 592-4653
(910) 590-2142
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0784
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408426
—
NC
05
—
6600038
—
NC
Enumeration date
06/26/2006
Last updated
08/22/2020
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