Organization
PROFESSIONAL NURSING SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY W WALLACE RN (OWNER)
(252) 247-6911
Entity
Organization
Contact information
Practice address
212 NORTH 35TH STREET, MOREHEAD CITY, NC 28557-3104
(252) 247-6911
(252) 247-1034
Mailing address
212 NORTH 35TH STREET, MOREHEAD CITY, NC 28557-3104
(252) 247-6911
(252) 247-1034
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC 0238
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00758
HH
NC
Enumeration date
11/09/2006
Last updated
08/22/2020
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