Organization
DILDA,S HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WAYNE BRIDGERS (PRESIDENT)
(252) 237-5449
Entity
Organization
Contact information
Practice address
3304 MARTIN LUTHER KING JR PKWY SE, WILSON, NC 27893-9599
(252) 237-5449
(252) 237-9895
Mailing address
3304 MARTIN LUTHER KING JR PKWY SE, WILSON, NC 27893-9599
(252) 237-5449
(252) 237-9895
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
FCL-098-025
NC
261QP2300X
Primary Care Clinic/Center
Primary
FCL-098-026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801743
—
NC
05
—
7801746
—
NC
Enumeration date
03/01/2007
Last updated
08/22/2020
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