Organization
CANINE CABANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGEANNE HOEGERMAN MD (OWNER/ADMINISTRATOR)
(252) 441-7517
Entity
Organization
Contact information
Practice address
4717 S BLUE MARLIN WAY, NAGS HEAD, NC 27959-9678
(252) 441-7517
(252) 441-7517
Mailing address
4717 S BLUE MARLIN WAY, NAGS HEAD, NC 27959-9678
(252) 441-7517
(252) 441-7517
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NC
385H00000X
Respite Care
—
NC
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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