Organization
LOWER CAPE FEAR HOSPICE, INCORPORATED
Active
Other names
Lower Cape Fear LifeCare
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN WHITLEY RN (PRESIDENT/CEO)
(910) 796-7900
Entity
Organization
Contact information
Practice address
1314 3RD AVE, CONWAY, SC 29526-5002
(843) 848-6480
(843) 848-6655
Mailing address
1414 PHYSICIANS DR, WILMINGTON, NC 28401-7335
(910) 796-7900
(910) 796-7901
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
HPC53
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP008
—
SC
Enumeration date
06/20/2005
Last updated
12/17/2024
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