Provider Demographics
NPI:1689192148
Name:HARNETT ELDER CARE
Entity Type:Organization
Organization Name:HARNETT ELDER CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDOLPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-292-2023
Mailing Address - Street 1:500 N CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:DUNN
Mailing Address - State:NC
Mailing Address - Zip Code:28334-4039
Mailing Address - Country:US
Mailing Address - Phone:910-292-2422
Mailing Address - Fax:
Practice Address - Street 1:500 N CLINTON AVE
Practice Address - Street 2:
Practice Address - City:DUNN
Practice Address - State:NC
Practice Address - Zip Code:28334-4039
Practice Address - Country:US
Practice Address - Phone:910-658-2174
Practice Address - Fax:910-658-2174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-05
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health