Healthcare Provider Details

I. General information

NPI: 1437275351
Provider Name (Legal Business Name): COORDINATED HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 07/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 COPELAND OAKS DRIVE
MORRISVILLE NC
27560-6614
US

IV. Provider business mailing address

1216 COPELAND OAK DRIVE
MORRISVILLE NC
27560-6614
US

V. Phone/Fax

Practice location:
  • Phone: 919-465-3277
  • Fax: 919-465-3222
Mailing address:
  • Phone: 919-465-0910
  • Fax: 919-465-0918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBIN KAY ENTERKIN
Title or Position: QUALITY ASSURANCE SPECIALIST
Credential: M.A.
Phone: 919-465-0910