Organization
SUPPLEMENTAL HEALTH CARE
Active
Parent organization
SUPPLEMENTAL HEALTH CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUPPLEMENTAL HEALTH CARE
Authorized official
EMILY DRISTRAN (SENIOR STAFFING MANGER)
(919) 781-9565
Entity
Organization
Contact information
Practice address
1759 W 5TH ST, WASHINGTON, NC 27889-4003
(252) 412-8669
Mailing address
1759 W 5TH ST, WASHINGTON, NC 27889-4003
(252) 412-8669
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
8219
NC
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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