Organization
TIFFANY HEALTHCARE, INC.
Active
Other names
Louisburg Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TIFFANY COLLETTE EVERETT (PRESIDENT)
(252) 946-6617
Entity
Organization
Contact information
Practice address
844 HWY 39 SOUTH, LOUISBURG, NC 27549
(252) 946-6617
(525) 946-2313
Mailing address
2294 GALLBERRY RD, PO BOX 1785, WASHINGTON, NC 27889-9178
(252) 946-6617
(252) 946-2313
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
HAL035013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804841
—
NC
Enumeration date
04/26/2007
Last updated
08/22/2020
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