Individual
MRS. GERVONIA MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
821 S MAIN ST, LAURINBURG, NC 28352-4724
(910) 276-0487
(991) 027-6412
Mailing address
13021 BLUES FARM RD, LAURINBURG, NC 28352-2517
(910) 276-0487
(910) 276-4123
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2538
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408009
—
NC
Enumeration date
08/17/2007
Last updated
08/17/2007
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