Organization
YADKIN SENIOR SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH G RUMMAGE (EXECUTIVE DIRECTOR)
(336) 679-2740
Entity
Organization
Contact information
Practice address
108-B EAST ELM STREET, YADKINVILLE, NC 27055-8203
(336) 679-3740
(336) 679-2449
Mailing address
PO BOX 789, YADKINVILLE, NC 27055-0789
(336) 679-2740
(336) 679-2449
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408547
—
NC
05
—
6600472
—
NC
Enumeration date
04/13/2009
Last updated
04/15/2009
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