Organization
PLANTATION VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA B GIBSON RNC (DIRECTOR OF NURSING)
(910) 772-3123
Entity
Organization
Contact information
Practice address
1200 PORTERS NECK RD, WILMINGTON, NC 28411
(910) 772-3123
Mailing address
1200 PORTERS NECK RD, WILMINGTON, NC 28411-7622
(910) 772-3123
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC1830
NC
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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