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Organization

W&B HEALTH CARE

Active
Other names
Rennert Home
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANDRA WILSON (ADMINISTRATOR)
(910) 843-1997
Entity
Organization

Contact information

Practice address
130 S MAIN ST, RED SPRINGS, NC 28377-1512
(910) 843-2710
(910) 843-2171
Mailing address
130 MAIN STREET, RED SPRINGS, NC 28377
(910) 843-2710
(910) 843-2171

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3409215
NC
05
6601200
NC
05
7803941
NC
05
8300702
NC
05
8300702B
NC
Enumeration date
01/24/2007
Last updated
09/07/2007
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