Organization Name: | ALBEMARLE REGIONAL HEALTH SERVICES |
NPI Number: | 1124102694 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERRY L PARKS (HEALTH DIRECTOR) |
Mailing Address: | 311 Cedar St Elizabeth City |
State: | NC US |
Postal Code: | 279094340 |
Phone Number: | 2523384404 |
Fax Number: | |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HOS1677 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |