Organization
COUNTY OF SURRY & SURRY COUNTY WELFARE DEPARTMENT
Active
Other names
Surry County Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY NICOLE SIMMONS (FINANCE MANAGER)
(336) 783-8500
Entity
Organization
Contact information
Practice address
1218 STATE ST, SUITE 200, MT AIRY, NC 27030-5001
(336) 783-8500
(336) 783-8525
Mailing address
1218 STATE ST, SUITE 200, MT AIRY, NC 27030-5001
(336) 783-8500
(336) 783-8525
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0296
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00765
BCBS PROVIDER NUMBER
NC
01
—
33513
PARTNER'S
NC
05
—
3407015
—
NC
Enumeration date
06/30/2005
Last updated
05/10/2010
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