Healthcare Provider Details

I. General information

NPI: 1275778169
Provider Name (Legal Business Name): DUE SEASON HOSPICE AND HOMECARE AGENCY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2008
Last Update Date: 12/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 LIVERMORE DR
PEMBROKE NC
28372-7322
US

IV. Provider business mailing address

201 LIVERMORE DR
PEMBROKE NC
28372-7322
US

V. Phone/Fax

Practice location:
  • Phone: 910-272-6431
  • Fax:
Mailing address:
  • Phone: 910-272-6431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LESA ANN JACOBS
Title or Position: CLINICAL DIRECTOR
Credential: REGISTERED NURSE
Phone: 910-734-0949