Organization
ST LUKE HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERA DAVIS (EXECUTIVE DIRECTOR)
(252) 823-7175
Entity
Organization
Contact information
Practice address
101 NEVILLE ST, PRINCEVILLE, NC 27886-5327
(252) 823-7175
(252) 823-6244
Mailing address
PO BOX 13, TARBORO, NC 27886-0013
(252) 823-7175
(252) 823-6244
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3500
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418231
—
NC
05
—
6601587
—
NC
Enumeration date
06/18/2008
Last updated
06/18/2008
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