Healthcare Provider Details

I. General information

NPI: 1205075280
Provider Name (Legal Business Name): ATLANTIC NURSING STAFF LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SOUTH MAIN ST.
LITTLETON NC
27850
US

IV. Provider business mailing address

100 SOUTH MAIN STREET PO BOX 1143
LITTLETON NC
27850
US

V. Phone/Fax

Practice location:
  • Phone: 252-586-0111
  • Fax: 252-586-0115
Mailing address:
  • Phone: 252-586-0111
  • Fax: 252-586-0115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNC

VIII. Authorized Official

Name: CHRISTINE HAMLET
Title or Position: PRESIDENT
Credential:
Phone: 252-586-0111