Healthcare Provider Details

I. General information

NPI: 1184742785
Provider Name (Legal Business Name): SANDHILLS HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7233 CLINTON RD
STEDMAN NC
28391
US

IV. Provider business mailing address

PO BOX 155
FAYETTEVILLE NC
28302-0155
US

V. Phone/Fax

Practice location:
  • Phone: 910-860-4663
  • Fax: 910-483-7420
Mailing address:
  • Phone: 910-860-4663
  • Fax: 910-483-7420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. CEDRICK R. SWINSON
Title or Position: VP OF OPERATIONS
Credential:
Phone: 910-860-4663