=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801955182
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VERNITA HARRINGTON PARKER DIRECTOR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/06/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2179 ELLIOTT ST 2179 ELLIOTT ST.
-----------------------------------------------------
City | OXFORD
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27565-6247
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-692-0555
-----------------------------------------------------
Fax | 919-692-0550
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2179 ELLIOTT ST PO BOX 1312
-----------------------------------------------------
City | OXFORD
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27565-6247
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-692-0555
-----------------------------------------------------
Fax | 919-692-0550
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | HC3541
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------