Healthcare Provider Details

I. General information

NPI: 1447326517
Provider Name (Legal Business Name): TOE RIVER HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 02/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEDICAL CAMPUS DR
BURNSVILLE NC
28714-9004
US

IV. Provider business mailing address

861 GREENWOOD RD
SPRUCE PINE NC
28777-3113
US

V. Phone/Fax

Practice location:
  • Phone: 828-682-7967
  • Fax: 828-682-7584
Mailing address:
  • Phone: 828-765-9081
  • Fax: 828-765-9082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberHC0323
License Number StateNC

VIII. Authorized Official

Name: MR. JESSE GREENE
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 828-765-9081