Organization
PRIMARY HEALTH CONCEPTS
Active
Other names
Home Health Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK W ELLEDGE (VICE PRESIDENT)
(336) 679-8852
Entity
Organization
Contact information
Practice address
2550 COURT DR, SUITE 103, GASTONIA, NC 28054-2152
(704) 865-7936
(704) 867-6852
Mailing address
2550 COURT DR, SUITE 103, GASTONIA, NC 28054-2152
(704) 865-7936
(704) 867-6852
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0856
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6600214
—
NC
Enumeration date
12/11/2007
Last updated
12/11/2007
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