Whalio Doctors

NPI 1043683188

Mount Eagle Health Care - Clemmons, LLC

Organisation Nursing Care Agency Clemmons, NC

Practice location

Address
2554 Lewisville Clemmons Rd # 306, Clemmons, NC 27012-8110
Phone
(336) 934-4227

Authorised official

Name
Bahati N Simtaji
Title
Director
Phone
(336) 934-4227

Registered specialties (2)

Nursing Care Agency Primary
Agencies Taxonomy 251J00000X Licence HC1587 (NC)
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X Licence HC1587 (NC)

Registry record

NPI
1043683188
Entity type
Organization
NPI issued
12 Nov 2015
Record last updated
12 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.