Healthcare Provider Details

I. General information

NPI: 1831892140
Provider Name (Legal Business Name): ALLIANCE HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 DOUGLAS ST S
WILSON NC
27893-4954
US

IV. Provider business mailing address

PO BOX 812
WILSON NC
27894-0812
US

V. Phone/Fax

Practice location:
  • Phone: 252-205-4089
  • Fax:
Mailing address:
  • Phone: 252-265-3343
  • Fax: 252-674-1545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARGIE MARIA ARTIS
Title or Position: PRESIDENT
Credential:
Phone: 252-265-3343