Organization
NORTHEASTERN HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SENTHIA B. NEWSOME (AGENCY DIRECTOR)
(252) 585-0589
Entity
Organization
Contact information
Practice address
9181 US 158 HWY, CONWAY, NC 27820
(252) 585-0589
(252) 585-0572
Mailing address
9181 US 158 HWY, PO BOX 420, CONWAY, NC 27820
(252) 585-0589
(252) 585-0572
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409411
—
NC
05
—
6600823
—
NC
Enumeration date
01/03/2007
Last updated
08/22/2020
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