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NPI Code Detail

MEDICARE: INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC

MEDICARE: INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC
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 AgencyHC4648NC
2251F00000XHome Infusion AgencyHC4648NC
3251J00000XNursing Care AgencyHC4648NC

General Provider Information

NPI Number : 1871912691
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC
Provider Business Mailing Address
First Line : PO BOX 2249
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-7249
Country : US
Telephone Number : 910-642-2106
Fax Number : 910-642-6903
Provider Business Practice Location Address
First Line : 1904 GUM BRANCH RD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-4532
Country : US
Telephone Number : 910-347-5100
Fax Number : 910-939-5170
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DONNA LOU BYRD
Credential :
Telephone Number : 910-642-2106
Provider Enumeration Date : 04/09/2014
Last Update Date : 07/04/2019

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Directions to “INTERIM HEALTHCARE OF THE EASTERN CAROLINAS, INC ” Practice Location

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