Organization
A GODLY HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEWART NOLAN HAM SR. (DIRECTOR)
(252) 975-3580
Entity
Organization
Contact information
Practice address
3062 HIGHWAY 33 EAST, CHOCOWINITY, NC 27817-8142
(252) 975-3580
(252) 975-6523
Mailing address
3062 HIGHWAY 33 EAST, CHOCOWINITY, NC 27817-8142
(252) 975-3580
(252) 975-6523
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
374U00000X
Home Health Aide
HC-3100
NC
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408745
—
NC
05
—
6601328
—
NC
Enumeration date
06/29/2006
Last updated
09/11/2025
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