NPI 1104196807

Gate City of Burlington

Organisation In Home Supportive Care Agency Burlington, NC

Practice location

Address: 2603 Holly Hill Street, Burlington, NC 27215
Phone: (336) 270-7061
Mailing address: 2603 Holly Hill St, Burlington, NC 27215-5156

Authorised official

Name: Jackie Chambers
Title: Owner
Phone: (336) 270-7061

Registered specialties (2)

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X Licence HC4039 (NC)

Other In Home Supportive Care providers in North Carolina →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence HC4039 (NC)

Other Preferred Provider Organization providers in North Carolina →

Registry record

NPI: 1104196807
Entity type: Organization
NPI issued: 11 Jan 2012
Record last updated: 11 Jan 2012

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.