Healthcare Provider Details

I. General information

NPI: 1346395019
Provider Name (Legal Business Name): W&B HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 09/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 S MAIN ST
RED SPRINGS NC
28377-1512
US

IV. Provider business mailing address

130 MAIN STREET
RED SPRINGS NC
28377
US

V. Phone/Fax

Practice location:
  • Phone: 910-843-2710
  • Fax: 910-843-2171
Mailing address:
  • Phone: 910-843-2710
  • Fax: 910-843-2171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SANDRA WILSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 910-843-1997