Provider Demographics
NPI:1659659233
Name:CAROLINA RESPIRATORY CARE, INC
Entity Type:Organization
Organization Name:CAROLINA RESPIRATORY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:S
Authorized Official - Last Name:MODLIN
Authorized Official - Suffix:
Authorized Official - Credentials:CRT, RCP
Authorized Official - Phone:252-833-4428
Mailing Address - Street 1:206 IRON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-8917
Mailing Address - Country:US
Mailing Address - Phone:252-833-4428
Mailing Address - Fax:252-833-4428
Practice Address - Street 1:206 IRON CREEK DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-8917
Practice Address - Country:US
Practice Address - Phone:252-833-4428
Practice Address - Fax:252-833-4428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGroup - Single Specialty