Provider Demographics
NPI:1417200874
Name:WILMINGTON HOME HEALTH CARE
Entity Type:Organization
Organization Name:WILMINGTON HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ZEBORA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-612-8605
Mailing Address - Street 1:925 S KERR AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-4335
Mailing Address - Country:US
Mailing Address - Phone:910-392-6010
Mailing Address - Fax:910-392-6056
Practice Address - Street 1:925 S KERR AVE
Practice Address - Street 2:SUITE F
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4335
Practice Address - Country:US
Practice Address - Phone:910-392-6010
Practice Address - Fax:910-392-6056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4575251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health