Organization
HARVEST HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY WALKER (PRESIDENT)
(910) 262-8439
Entity
Organization
Contact information
Practice address
2214 WRIGHTSVILLE AVE, SUITE C, WILMINGTON, NC 28403-2577
(910) 262-8439
Mailing address
PO BOX 105, WILMINGTON, NC 28402-0105
(910) 262-8439
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC3402
NC
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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