Individual
PAMELA T WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7288 HIGHWAY 211 WEST, BLADENBORO, NC 28320
(910) 863-4031
(910) 863-4031
Mailing address
2542 MARSH RD, BLADENBORO, NC 28320-7736
(910) 866-4497
(910) 863-4031
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL009017
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803504
—
NC
Enumeration date
03/07/2007
Last updated
07/08/2007
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