Healthcare Provider Details

I. General information

NPI: 1851715601
Provider Name (Legal Business Name): MS. HILDA F. PRICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2014
Last Update Date: 02/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3004 GUMTREE CT
RALEIGH NC
27610-5922
US

IV. Provider business mailing address

3004 GUMTREE CT
RALEIGH NC
27610-5922
US

V. Phone/Fax

Practice location:
  • Phone: 919-977-4422
  • Fax:
Mailing address:
  • Phone: 919-977-4422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: