Organization
ALLIED HSIM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA BOONE PHILLIPS (PRESIDENT/DIRECTOR)
(252) 493-0251
Entity
Organization
Contact information
Practice address
1200 OLD VILLAGE RD, GREENVILLE, NC 27834-9505
(252) 493-0251
Mailing address
1200 OLD VILLAGE RD, GREENVILLE, NC 27834-9505
(252) 493-0251
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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