Organization
CAROLINA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOTEESHAA RENEE CORNISH (DIRECTOR)
(443) 477-2817
Entity
Organization
Contact information
Practice address
800 OLD WHITEVILLE RD LOT 47, LUMBERTON, NC 28358-8205
(443) 477-2817
Mailing address
800 OLD WHITEVILLE RD LOT 47, LUMBERTON, NC 28358-8205
(443) 477-2817
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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