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Organization

PHILLIPS HOME HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENNARD HARRIS MS (DIRECTOR/OWNER)
(252) 246-9700
Entity
Organization

Contact information

Practice address
806 TARBORO ST W, SUIT 4,5,6, WILSON, NC 27893-4771
(252) 246-9700
(252) 246-0500
Mailing address
PO BOX 1391, WILSON, NC 27894-1391
(252) 246-9700
(252) 246-0500

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3914
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3418740
NC
Enumeration date
03/16/2010
Last updated
03/16/2010
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