Organization
ST. LUKE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERA V. DAVIS REGISTERED NURSE (AGENCY DIRECTOR)
(252) 823-7175
Entity
Organization
Contact information
Practice address
101 NEVILLE STREET, TARBORO, NC 27886-0476
(252) 823-7175
(252) 823-6244
Mailing address
PO BOX 476, TARBORO, NC 27886-0476
(252) 823-7175
(252) 823-6244
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HC3500
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601587
—
NC
Enumeration date
06/25/2007
Last updated
07/16/2007
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