Organization
HOME HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GALE R FINCANNON (PRESIDENT)
(910) 262-0566
Entity
Organization
Contact information
Practice address
1204 N LAKE PARK BLVD # G, CAROLINA BEACH, NC 28428-4163
(910) 262-0566
Mailing address
330 SILVA TERRA DR, WILMINGTON, NC 28412-2325
(910) 262-0566
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7702247
—
NC
Enumeration date
02/14/2007
Last updated
08/22/2020
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