Organization Name: | 1ST IN PROACTIVE CARE LLC |
NPI Number: | 1922392612 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CECILY CROFOOT HOOKS (PRESIDENT) |
Mailing Address: | 815 Old Winston Rd Suite E Kernersville |
State: | NC US |
Postal Code: | 272847124 |
Phone Number: | 3369922292 |
Fax Number: | 8003151585 |
NPI Enumeration Date: | 05/31/2011 |
NPI Last Update Date: | 06/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HC4376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |