Organization Name: | NATIVE ANGELS HOMECARE AGENCY INC. |
NPI Number: | 1063474740 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BOBBIE JACOBS GHAFFAR (CEO) |
Mailing Address: | 201 E. Livermore Drive Pembroke |
State: | NC US |
Postal Code: | 283727322 |
Phone Number: | 9102726400 |
Fax Number: | 9103206077 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 10/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HOS2861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |