Healthcare Provider Details

I. General information

NPI: 1144340043
Provider Name (Legal Business Name): COUNTY OF NASH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 S BARNES ST
NASHVILLE NC
27856-1204
US

IV. Provider business mailing address

PO BOX 849
NASHVILLE NC
27856-0849
US

V. Phone/Fax

Practice location:
  • Phone: 252-462-2743
  • Fax: 252-459-8540
Mailing address:
  • Phone: 252-459-1238
  • Fax: 252-459-9834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0520
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SHANNON RACKLEY LEE
Title or Position: ADMINISTRATOR
Credential:
Phone: 252-459-1238