Organization
DESTINY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA DIXON TAYLOR RN (CEO)
(252) 522-3683
Entity
Organization
Contact information
Practice address
327 N QUEEN ST, STE. 306, KINSTON, NC 28501-4984
(252) 521-1139
Mailing address
327 N QUEEN ST STE 306, KINSTON, NC 28501-4987
(252) 522-3683
(252) 522-4355
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
HC3423
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418486
—
NC
05
—
6601768
—
NC
01
—
HC3423
HOME CARE AGENCY
NC
Enumeration date
10/17/2007
Last updated
04/30/2008
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