Organization
WAKE FOREST BAPTIST HEALTH CARE AT HOME, LLC
Active
Other names
Wake Forest Bapatist Healthcare a Home, Community Care-Wilkes, Disable
Organization subpart
No
Provider details
NPI number
Authorized official
JANET COMBS (VICE PRESIDENT, LICENSURE)
(913) 814-2013
Entity
Organization
Contact information
Practice address
56 BOONE TRAIL, NORTH WILKESBORO, NC 28659-3515
(336) 667-2208
Mailing address
P.O. BOX 4060, ATTN: REGULATORY, MOORESVILLE, NC 28117-1157
(704) 662-0416
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332U00000X
Home Delivered Meals
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235546623
—
NC
Enumeration date
07/17/2014
Last updated
05/05/2022
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