Organization
STACIES PERSONAL CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE WILSON R.N. (PRESIDENT)
(828) 649-9014
Entity
Organization
Contact information
Practice address
10 S MAIN ST UNIT B, WEAVERVILLE, NC 28787
(828) 484-8440
(828) 848-8445
Mailing address
10 S MAIN ST UNIT B, WEAVERVILLE, NC 28787
(828) 649-9014
(828) 649-3467
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3184
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418528
—
NC
Enumeration date
02/07/2007
Last updated
12/30/2010
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