Healthcare Provider Details

I. General information

NPI: 1366625667
Provider Name (Legal Business Name): COMPASSIONATE CARE FAMILY NETWORKING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 10/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 WEST LIBERTY STREET
HAMILTON NC
27840
US

IV. Provider business mailing address

107 WEST LIBERTY STREET
HAMILTON NC
27840
US

V. Phone/Fax

Practice location:
  • Phone: 252-531-2419
  • Fax: 252-519-0899
Mailing address:
  • Phone: 252-531-2419
  • Fax: 252-519-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DENA STOKES RAMSEY
Title or Position: DIRECTOR
Credential:
Phone: 252-673-0831