Organization
HERITAGE HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BEASLEY PITTMAN JR. (AGENCY DIRECTOR)
(252) 824-5210
Entity
Organization
Contact information
Practice address
119 E SAINT JAMES ST, TARBORO, NC 27886-5053
(252) 824-5210
Mailing address
119 E SAINT JAMES ST, TARBORO, NC 27886-5053
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2186
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409437
—
NC
05
—
6600842
—
NC
Enumeration date
08/04/2006
Last updated
08/22/2020
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