NPI 1659406056 · live from the CMS NPI Registry
A Primary Choice
Home Health in Maxton, NC. National Provider Identifier 1659406056, active.
NPI record
| NPI | 1659406056 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 22421 Andrew Jackson Hwy, Maxton, NC 28364 |
| Practice phone | 910-844-2008 |
| Mailing address | 500 Peterson Dr, Lumberton, NC 28358 |
| Enumerated | February 23, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Thad Davis, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.