Organization
A PLACE FOR JONITA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANTOINETTE D WHITAKER (OWNER/OPERATOR)
(919) 901-2810
Entity
Organization
Contact information
Practice address
772 MAIN ST, WILSON MILLS, NC 27593
(919) 901-2810
Mailing address
PO BOX 1200, FOUR OAKS, NC 27524-1200
(919) 901-2810
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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