Organization
HEROES PEDIATRIC HOSPICE AGENCY L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANISHA JOHNSON (CHIEF EXECUTIVE OFFICER)
(919) 295-6530
Entity
Organization
Contact information
Practice address
110 WOODSIDE RD, GREENVILLE, NC 27834-1129
(919) 295-6530
Mailing address
PO BOX 20651, GREENVILLE, NC 27858-0651
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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