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Organization

DARING TO ACHIEVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE WASHINGTON (DIRECTOR)
(252) 661-5532
Entity
Organization

Contact information

Practice address
115 E MAIN ST STE 9, WILLIAMSTON, NC 27892-2482
(252) 789-8384
Mailing address
115 E MAIN ST STE 9, WILLIAMSTON, NC 27892-2482
(252) 789-8384

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4350
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6602234
NC
Enumeration date
01/06/2012
Last updated
01/06/2012
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