Organization
PELHAM HOME HEALTH SERVICES, INC.
Active
Other names
Pelham Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED C WILSON RNC,BSN (DIRECTOR)
(910) 630-6757
Entity
Organization
Contact information
Practice address
2501 FAYETTEVILLE ST, SANFORD, NC 27332-5910
(919) 718-0388
(919) 718-0389
Mailing address
PO BOX 9754, FAYETTEVILLE, NC 28311-9091
(910) 630-6757
(910) 884-9806
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2838
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601211
—
NC
Enumeration date
03/17/2009
Last updated
03/17/2009
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