Organization
ECLIPSE HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM THOMAS STANCIL (OWNER)
(919) 622-4305
Entity
Organization
Contact information
Practice address
7750 NC HIGHWAY 222 W, KENLY, NC 27542-9730
(919) 284-4034
Mailing address
7750 NC 222 WEST, KENLY, NC 27542
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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