Healthcare Provider Details

I. General information

NPI: 1578500757
Provider Name (Legal Business Name): ALEXANDER COUNTY HOME HEALTH A GENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 1ST AVE SW
TAYLORSVILLE NC
28681-2483
US

IV. Provider business mailing address

338 1ST AVE SW
TAYLORSVILLE NC
28681-2483
US

V. Phone/Fax

Practice location:
  • Phone: 828-632-9704
  • Fax: 828-632-1109
Mailing address:
  • Phone: 828-632-9704
  • Fax: 828-632-1109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License NumberHC0476
License Number StateNC

VIII. Authorized Official

Name: MRS. LEEANNE WHISNANT
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 828-632-9704