Organization Name: | ST. LUKE HOME CARE |
NPI Number: | 1841496916 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VERA V. DAVIS (AGENCY DIRECTOR) |
Mailing Address: | 101 Neville Street Tarboro |
State: | NC US |
Postal Code: | 278860476 |
Phone Number: | 2528237175 |
Fax Number: | 2528236244 |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 07/16/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HC3500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |