Doctor Name: | MS. ROSALIND ELAINE DOCKERY |
NPI Number: | 1184744021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ADMINISTRATOR |
License Number: | FCL-020-010 |
Business Practice Address: | 17 Moore St 288 6th. St. Andrews, NC - 289019633 |
Business Phone Number: | 8283219501 |
Business Fax Number: | 8283219501 |
Mailing Address: | 17 Moore St, 288 6th. St. ANDREWS |
State: | NC |
Postal Code: | 289019633 |
Phone Number: | 8283219501 |
Fax Number: | 8283219501 |
NPI Enumeration Date: | 03/31/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 376G00000X |
License Number: | FCL-020-010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Nursing Home Administrator |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |