Organization
EASTERN CAROLINA HOME HEALTH AGENCY, LLC
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED SIGNATORY)
(913) 814-2077
Entity
Organization
Contact information
Practice address
4013 CAPITAL DR, ROCKY MOUNT, NC 27804-3123
(252) 443-7083
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073C
G2
—
05
—
1306873831
—
NC
05
—
3407328
—
NC
Enumeration date
06/28/2006
Last updated
04/06/2023
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