Healthcare Provider Details

I. General information

NPI: 1477730042
Provider Name (Legal Business Name): GENEROSITY HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2008
Last Update Date: 01/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 S BOND ST
ROWLAND NC
28383-9639
US

IV. Provider business mailing address

112 S BOND ST
ROWLAND NC
28383-9639
US

V. Phone/Fax

Practice location:
  • Phone: 910-740-7090
  • Fax: 910-521-3668
Mailing address:
  • Phone: 910-740-7090
  • Fax: 910-521-3668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. WENDY STRICKLAND
Title or Position: ADMINISTRATOR
Credential:
Phone: 910-774-2827