| Organization Name: | WAKE FOREST BAPTIST HEALTH CARE AT HOME, LLC |
| NPI Number: | 1003236258 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUTH C SCHWARTZ (ASSISTANT SECRETARY) |
| Mailing Address: | 126 Executive Dr Suite 110 Wilkesboro |
| State: | NC US |
| Postal Code: | 286977571 |
| Phone Number: | 3368183177 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2014 |
| NPI Last Update Date: | 03/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |