Organization
ALBEMARLE REGIONAL HEALTH SERVICES
Active
Other names
Chowan Life Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L PARKS MPH (HEALTH DIRECTOR)
(252) 338-4404
Entity
Organization
Contact information
Practice address
311 CEDAR ST, ELIZABETH CITY, NC 27909-4340
(252) 338-4404
Mailing address
PO BOX 189, ELIZABETH CITY, NC 27907-0189
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408230
—
NC
Enumeration date
10/24/2006
Last updated
09/11/2025
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