Provider Demographics
NPI:1235468299
Name:DEVETA GARNER
Entity Type:Organization
Organization Name:DEVETA GARNER
Other - Org Name:HOME KEEPERS HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEVETA
Authorized Official - Middle Name:LYNGRETT
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-468-4040
Mailing Address - Street 1:PO BOX 2962
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28502-2962
Mailing Address - Country:US
Mailing Address - Phone:252-468-4040
Mailing Address - Fax:
Practice Address - Street 1:1020 S MIAMI BLVD
Practice Address - Street 2:SUITE 6-A
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-5417
Practice Address - Country:US
Practice Address - Phone:252-468-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health