Organization
PROVIDENCE REHABILITATION AND HOSPICE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE GARDNER (CEO)
(252) 217-8487
Entity
Organization
Contact information
Practice address
2515 RODGERS SCHOOL RD, WILLIAMSTON, NC 27892-8246
(800) 279-1455
Mailing address
4915 ARENDELL ST, SUITE J-#323, MOREHEAD CITY, NC 28557-2659
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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