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NPI Code Detail

MEDICARE: MIDWAY HEALTH CARE

MEDICARE: MIDWAY HEALTH CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1861756355
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWAY HEALTH CARE
Provider Business Mailing Address
First Line : 1067 EAGLEWOOD AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-6808
Country : US
Telephone Number : 904-607-0938
Fax Number :
Provider Business Practice Location Address
First Line : 1067 EAGLEWOOD AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-6808
Country : US
Telephone Number : 904-607-0938
Fax Number :
Authorized Official
Title or Position : CEO
Name : JACQUELINE TERRELL
Credential :
Telephone Number : 904-607-0938
Provider Enumeration Date : 06/28/2012
Last Update Date : 06/28/2012

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Directions to “MIDWAY HEALTH CARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.