Organization
POWELL HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VICKIE ANN POWELL (OWNER)
(252) 442-5122
Entity
Organization
Contact information
Practice address
1701 SUNSET AVE, SUITE 201, ROCKY MOUNT, NC 27804-4343
(252) 442-5122
(252) 442-6980
Mailing address
1701 SUNSET AVE, SUITE 201, ROCKY MOUNT, NC 27804-4343
(252) 442-5122
(252) 442-6980
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409601
—
NC
05
—
6600992
—
NC
Enumeration date
12/01/2006
Last updated
05/30/2013
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