WHITES FAMILY CARE HOME; NPI #1164689758

Contact Information

WHITES FAMILY CARE HOME

708 WEST 3RD STREET
GREENVILLE, NC 27834-1928

Phone: 252-752-2460
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Administrator	163WA2000X

Indicates primary specialty

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NPI Profile & details for WHITES FAMILY CARE HOME

NPI # 1164689758

LBN Legal business name WHITES FAMILY CARE HOME

Authorized official BESSIE WHITE - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/21/2008

Last updated 05/21/2008 - About 18 years ago

Identifiers

NC	License #	FCL074025
NC	Medicaid	7805181

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WHITES FAMILY CARE HOME

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NPI Profile & details for WHITES FAMILY CARE HOME

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