Organization Name: | HEALTHACCESS, INC |
NPI Number: | 1265804298 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOAN WYNN (PRESIDENT) |
Mailing Address: | 750 Kenansville Byp Ste B Kenansville |
State: | NC US |
Postal Code: | 283499064 |
Phone Number: | 9102960819 |
Fax Number: | 9102960482 |
NPI Enumeration Date: | 10/29/2015 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HOS1302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |