Organization
PALMETTO PERSONAL CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY POWERS WILLIAMSON LPN (OWNER SEC)
(910) 649-6569
Entity
Organization
Contact information
Practice address
684 MAIN ST, FAIR BLUFF, NC 28439
(910) 649-6569
(910) 649-6576
Mailing address
PO BOX 195, FAIR BLUFF, NC 28439
(910) 649-6569
(910) 649-6576
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601053
—
NC
05
—
EX0697
—
SC
Enumeration date
12/08/2006
Last updated
08/22/2020
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