NPI 1114246956

Mayo's Loving Care

Organisation PACE Provider Organization Rocky Mount, NC

Practice location

Address: 105 Krista Ln, Rocky Mount, NC 27803-5228
Phone: (252) 973-8593
Fax: (252) 407-4950
Mailing address: PO Box 1705, Rocky Mount, NC 27802-1705

Authorised official

Name: Samuel Cormelius Mayo
Title: Qp
Phone: (252) 281-7717

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence MHL 064 115 (NC)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in North Carolina →

Registry record

NPI: 1114246956
Entity type: Organization
NPI issued: 19 May 2010
Record last updated: 19 May 2010

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.