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NPI Code Detail

MEDICARE: WELL CARE HOME HEALTH OF THE TRIAD

MEDICARE: WELL CARE HOME HEALTH OF THE TRIAD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952342784
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELL CARE HOME HEALTH OF THE TRIAD
Provider Business Mailing Address
First Line : 131 RACINE DR STE 201
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-8752
Country : US
Telephone Number : 910-362-9405
Fax Number : 910-202-1376
Provider Business Practice Location Address
First Line : 146 DORNACH WAY STE 210
Second Line :
City : ADVANCE
State : NC
Zip : 27006-7305
Country : US
Telephone Number : 336-753-6200
Fax Number : 336-751-9287
Authorized Official
Title or Position : DIRECTOR OF REVENUE CYCLE
Name : LISA MOORE
Credential :
Telephone Number : 910-362-9405
Provider Enumeration Date : 06/10/2006
Last Update Date : 06/28/2024

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Directions to “WELL CARE HOME HEALTH OF THE TRIAD ” Practice Location

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