Healthcare Provider Details
I. General information
NPI: 1316906233
Provider Name (Legal Business Name): STANLEX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2006
Last Update Date: 08/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
707 ALBEMARLE RD SUITE 2
TROY NC
27371-8681
US
IV. Provider business mailing address
1061 ALBERMARLE ROAD
TROY NC
27371-8681
US
V. Phone/Fax
- Phone: 910-572-3800
- Fax: 910-572-3805
- Phone: 704-982-2273
- Fax: 704-986-2358
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | HH030795 |
| License Number State | NC |
VIII. Authorized Official
Name: MR.
ALFRED
P
TAYLOR
Title or Position: PRESIDENT
Credential:
Phone: 704-984-4347