CCN: 347337 NPI: 1306035076 Organization

PHC Home Health-Wake

119 SW MAYNARD RD STE 170A
CARY, NC 275114472

Contact Information

Phone 9192307231
Enumeration Date 2007-10-18
Last Updated 2022-07-13

Taxonomies

Code: 251E00000X License State: NC License: HC2786
Code: 253Z00000X
Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 39580

providerType 36

censusDivision 3

cbsaActualGeographicLocation 39580

providerType 36

censusDivision 3

cbsaActualGeographicLocation 39580

providerType 36

censusDivision 3

cbsaActualGeographicLocation 39580

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 39580

providerType 36

specialPaymentIndicator

carrierCode 11502

localityCode 00