Organization Name: | HAIRSTON ELDERCARE SERVICES INC |
NPI Number: | 1134547771 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAMERINE HAIRSTON (OWNER/PRESIDENT) |
Mailing Address: | 325 S Long Dr Rockingham |
State: | NC US |
Postal Code: | 283793991 |
Phone Number: | 9108957991 |
Fax Number: | 9108957993 |
NPI Enumeration Date: | 04/01/2014 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 7796 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |