Organization
COUNTY OF CASWELL
Active
Other names
Caswell County Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ARMSTRONG EASTWOOD (HEALTH DIRECTOR)
(336) 694-4129
Entity
Organization
Contact information
Practice address
189 COUNTY PARK RD, YANCEYVILLE, NC 27379
(336) 694-9592
(336) 694-7450
Mailing address
189 COUNTY PARK RD, YANCEYVILLE, NC 27379
(336) 694-9592
(336) 694-7450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0489
NC
291U00000X
Clinical Medical Laboratory
34D1035350
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071E
BC BS
NC
05
—
3407175
—
NC
01
—
HC0489
HOME HEALTH LICENSE NO.
NC
Enumeration date
12/12/2006
Last updated
08/02/2021
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