Healthcare Provider Details

I. General information

NPI: 1881813897
Provider Name (Legal Business Name): SENIOR CARE OF ORANGE COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 MEADOWLAND DR
HILLSBOROUGH NC
27278
US

IV. Provider business mailing address

105 MEADOWLANDS DR
HILLSBOROUGH NC
27278-8500
US

V. Phone/Fax

Practice location:
  • Phone: 919-245-2017
  • Fax: 919-245-2018
Mailing address:
  • Phone: 919-245-2017
  • Fax: 919-245-2018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNC

VIII. Authorized Official

Name: DAVID WILKERSON
Title or Position: PRESIDENT
Credential:
Phone: 919-245-2017