Organization
ALBEMARLE REGIONAL HEALTH SERVICES
Active
Other names
Bertie County Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L PARKS MPH (HEALTH DIRECTOR)
(252) 338-4404
Entity
Organization
Contact information
Practice address
102 RHODES AVE, WINDSOR, NC 27983-9656
(252) 338-4404
Mailing address
PO BOX 189, ELIZABETH CITY, NC 27907-0189
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0480
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00705
BCBS
NC
05
—
3407050
—
NC
Enumeration date
10/24/2006
Last updated
08/22/2020
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