Organization
OLE CREEK HEALTH AND WELLNESS INC
Active
Other names
Ole Creek Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANTHONY MOORE (EXECUTIVE MANAGEMENT)
(984) 358-8100
Entity
Organization
Contact information
Practice address
555 S MANGUM ST STE 100, DURHAM, NC 27701-4689
(984) 358-8100
Mailing address
555 S MANGUM ST STE 100, DURHAM, NC 27701-4689
(984) 358-8100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC6737
PRIVATE
NC
Enumeration date
12/12/2022
Last updated
03/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us