Whalio Doctors

NPI 1174566905

Community Support Professionals,llc

Organisation Case Management Agency Wilmington, NC

Practice location

Address
1606 Wellington Ave Unitc, Wilmington, NC 28401-7704
Phone
(910) 799-4505
Fax
(910) 799-4345

Authorised official

Name
Charles Christopher Creech
Title
Ceo
Phone
(910) 799-4505

Registered specialties (2)

Case Management Agency Primary
Agencies Taxonomy 251B00000X
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X Licence 8300728H (NC)

Registry record

NPI
1174566905
Entity type
Organization
NPI issued
13 Jun 2006
Record last updated
4 Feb 2009

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.