Provider Demographics
NPI:1134382302
Name:VISITING ANGELS OF NORTHEASTERN NORTH CAROLINA INC.
Entity type:Organization
Organization Name:VISITING ANGELS OF NORTHEASTERN NORTH CAROLINA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:HAND
Authorized Official - Last Name:MOSELEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-261-9911
Mailing Address - Street 1:PO BOX 172
Mailing Address - Street 2:
Mailing Address - City:KITTY HAWK
Mailing Address - State:NC
Mailing Address - Zip Code:27949-0172
Mailing Address - Country:US
Mailing Address - Phone:252-261-9911
Mailing Address - Fax:252-261-9915
Practice Address - Street 1:56 SKYLINE RD
Practice Address - Street 2:
Practice Address - City:KITTY HAWK
Practice Address - State:NC
Practice Address - Zip Code:27949-3600
Practice Address - Country:US
Practice Address - Phone:252-261-9911
Practice Address - Fax:252-261-9915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2973251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health