Provider Demographics
NPI:1891547592
Name:BISSETT INC.
Entity Type:Organization
Organization Name:BISSETT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:DEW
Authorized Official - Last Name:EIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-231-2861
Mailing Address - Street 1:3701 SUNSET AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-3362
Mailing Address - Country:US
Mailing Address - Phone:252-231-2861
Mailing Address - Fax:252-231-2862
Practice Address - Street 1:3701 SUNSET AVE STE A
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-3362
Practice Address - Country:US
Practice Address - Phone:252-231-2861
Practice Address - Fax:252-231-2862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care