Healthcare Provider Details

I. General information

NPI: 1750414264
Provider Name (Legal Business Name): COUNTY OF WATAUGA OFFICE OF COUNTY ACCOUNTANT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 POPLAR GROVE CONNECTOR SUITE A
BOONE NC
28607-5915
US

IV. Provider business mailing address

132 POPLAR GROVE CONNECTOR SUITE A
BOONE NC
28607-5915
US

V. Phone/Fax

Practice location:
  • Phone: 828-265-8090
  • Fax: 828-264-2060
Mailing address:
  • Phone: 828-265-8090
  • Fax: 828-264-2060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0546
License Number StateNC

VIII. Authorized Official

Name: MRS. ANGIE BOITNOTTE
Title or Position: DIRECTOR OF AGENCY
Credential:
Phone: 828-265-8090