Organization
PHILSON'S HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE RENAULT PHILSON I (ADMINISTRATOR/OWNER)
(252) 520-9353
Entity
Organization
Contact information
Practice address
1005 BULLARD CT, SUITE 100, RALEIGH, NC 27615-6855
(919) 877-8155
(919) 877-8154
Mailing address
1005 BULLARD CT, SUITE 100, RALEIGH, NC 27615-6855
(919) 877-8155
(919) 877-8154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3768
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC3768
—
NC
Enumeration date
08/18/2009
Last updated
08/18/2009
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