Organization
HILLCREST CONVALESCENT CENTER INC
Active
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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