Organization
LOWER CAPE FEAR HOSPICE INCORPORATED
Active
Other names
Lower Cape Fear LifeCare
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN WHITLEY RN (PRESIDENT/CEO)
(910) 796-7900
Entity
Organization
Contact information
Practice address
1414 PHYSICIANS DRIVE, WILMINGTON, NC 28401-7335
(910) 796-7900
(910) 796-7901
Mailing address
1414 PHYSICIANS DRIVE, WILMINGTON, NC 28401-7335
(910) 796-7900
(910) 796-7901
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
HC2121
NC
251G00000X
Community Based Hospice Care Agency
Primary
HOS0416
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021R
BLUE CROSS/BLUE SHIELD
NC
01
—
012N8
BLUE CROSS/BLUE SHIELD
NC
05
—
3401515
—
NC
05
—
89012N8
—
NC
Enumeration date
04/18/2006
Last updated
12/17/2024
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