Healthcare Provider Details

I. General information

NPI: 1326235755
Provider Name (Legal Business Name): ENFIELD CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 10/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 CARY ST
ENFIELD NC
27823-1204
US

IV. Provider business mailing address

PO BOX 279
ENFIELD NC
27823-0279
US

V. Phone/Fax

Practice location:
  • Phone: 252-445-2111
  • Fax: 252-445-5646
Mailing address:
  • Phone: 252-445-2111
  • Fax: 252-445-5646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberNH0037
License Number StateNC

VIII. Authorized Official

Name: MR. NORWOOD RANDOLPH UZZELL
Title or Position: PRESIDENT
Credential:
Phone: 252-523-9094