| NPI | 1194192500 |
|---|---|
| Former Legal Business Name | MOUNT EAGLE HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | DOROTHY EDWARD SHALLUA Director 336-283-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC HC4420) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC4420) |
| 251F00000X Home Infusion (Licence: NC HC4420) | |
| 251J00000X Nursing Care (Licence: NC HC4420) | |
| 253Z00000X In Home Supportive Care (Licence: NC HC4420) | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |