Organization
COUNTY OF CALDWELL
Active
Other names
CALDWELL CO. HOME HEALTH AGC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE CLARK KELLY CRNI (HOME HEALTH DIRECTOR)
(828) 426-8438
Entity
Organization
Contact information
Practice address
2345 MORGANTON BLVD SW, LENOIR, NC 28645-4973
(828) 426-8401
(828) 426-8441
Mailing address
2345 MORGANTON BLVD SW, LENOIR, NC 28645-4973
(828) 426-8401
(828) 426-8441
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0487
NC
251F00000X
Home Infusion Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00713
NC STATE BENEFIT
NC
05
—
3407079
—
NC
01
—
6009193
UNITED HEALTHCARE
NC
Enumeration date
06/01/2005
Last updated
06/10/2009
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