Organization
MERIDIAN HEALTHCARE OF NC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZA HAWKINS LPN (PRESIDENT)
(919) 878-9997
Entity
Organization
Contact information
Practice address
5300 ATLANTIC AVE, SUITE 106-O, RALEIGH, NC 27609-1122
(919) 878-9997
(919) 878-9901
Mailing address
5300 ATLANTIC AVE, SUITE 106-O, RALEIGH, NC 27609-1122
(919) 878-9997
(919) 878-9901
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2987
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418393
—
NC
05
—
6601712
—
NC
Enumeration date
09/04/2007
Last updated
09/04/2007
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