Organization
ST. MARY'S HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELTON LEE JOSEPH OWNER (OWNER)
(919) 363-1462
Entity
Organization
Contact information
Practice address
243 DABNEY DR, HENDERSON, NC 27536-4033
(252) 430-6873
(252) 430-6927
Mailing address
243 DABNEY DR, HENDERSON, NC 27536-4033
(252) 430-6873
(252) 430-6927
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601244
—
NC
Enumeration date
03/05/2007
Last updated
08/22/2020
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