Organization
LOWER CAPE FEAR HOSPICE, INC
Active
Other names
Lower Cape Fear LifeCare
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN WHITLEY RN (PRESIDEN/CEO)
(910) 796-7900
Entity
Organization
Contact information
Practice address
1414 PHYSICIANS DR, WILMINGTON, NC 28401-7335
(910) 796-7900
(910) 796-7901
Mailing address
1414 PHYSICIANS DR, WILMINGTON, NC 28401-7335
(910) 796-7957
(910) 341-1908
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HC0531
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079V
BLUE CROSS & BLUE SHIELD
NC
05
—
3401577
—
NC
01
—
566000326009
TRICARE
NC
Enumeration date
03/10/2006
Last updated
02/25/2021
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