Healthcare Provider Details

I. General information

NPI: 1255611406
Provider Name (Legal Business Name): BELLIAMS HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2011
Last Update Date: 08/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

687C WILLIAMSON RD
LONGS SC
29566
US

IV. Provider business mailing address

1064 ECHO DR NE
LELAND NC
28451-8314
US

V. Phone/Fax

Practice location:
  • Phone: 910-352-0295
  • Fax:
Mailing address:
  • Phone: 910-352-0295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. ALICIA BELLAMY WILLIAMS
Title or Position: ADMINISTRATOR
Credential:
Phone: 910-352-0295