Organization
HILLCREST CONVALESCENT CENTER INC
Active
Other names
HILLCREST CONVALESCENT CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
HARRIS HOLLINGSWORTH RPH (DIR OF PHCY)
(919) 286-7705
Entity
Organization
Contact information
Practice address
1417 W PETTIGREW ST, DURHAM, NC 27705-4820
(919) 286-7705
(919) 286-2065
Mailing address
1417 W PETTIGREW ST, DURHAM, NC 27705-4820
(919) 286-7705
(919) 286-2065
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
02265
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2065765
PK
—
05
—
325282
—
NC
Enumeration date
12/13/2006
Last updated
01/23/2020
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