Organization
LEGACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYME MICHELE BOURGEOIS OTA/L (OCCUPATIONAL THERAPY ASSISTANT)
(919) 435-1284
Entity
Organization
Contact information
Practice address
2275 RUIN CREEK RD, HENDERSON, NC 27537-8732
(252) 492-0066
Mailing address
2275 RUIN CREEK ROAD, HENDERSON, NC 27537
(252) 492-0066
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5022
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5022
OTA/L
NC
Enumeration date
07/05/2013
Last updated
07/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us