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General NPI Number Information
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NPI Number | 1124216189
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 07/04/2019
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Provider Practice Location Address
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Address Line | 2413 ROBESON ST STE 7
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5500
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Country | US
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Telephone | 910-483-6144
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Fax | 910-483-6049
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Provider Business Mailing Address
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Address Line | PO BOX 2249
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City | WHITEVILLE
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State | NC
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Zip | 28472-7249
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Country | US
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Telephone | 910-642-2106
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Fax | 910-642-6580
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Authorized Official
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Title or Position | PRESIDENT - OWNER
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Name | MRS. DONNA L BYRD
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Credential |
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Telephone | 910-642-2106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | HC3459
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License Number State | NC
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