Healthcare Provider Details

I. General information

NPI: 1679520555
Provider Name (Legal Business Name): KARC ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 E 2ND ST
WASHINGTON NC
27889-4920
US

IV. Provider business mailing address

121 E 2ND ST
WASHINGTON NC
27889-4920
US

V. Phone/Fax

Practice location:
  • Phone: 252-945-4030
  • Fax:
Mailing address:
  • Phone: 252-945-4030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: MR. KEVIN C CLANCY
Title or Position: PRESIDENT
Credential:
Phone: 12529454030