NPI 1205428992

Hazel Forman

Practitioner Home Modifications Contractor Greensboro, NC

Practice location

Address: 1200 Moody St, Greensboro, NC 27401-4217
Phone: (336) 860-4060
Fax: (336) 937-9157

Registered specialties (3)

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence FCL-041-082 (NC)

Other Contractor providers in North Carolina →

Home Modifications Contractor

Other Service Providers Taxonomy 171WH0202X Licence FCL-041-081 (NC)

Nursing Home Administrator

Nursing Service Related Providers Taxonomy 376G00000X

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Registry record

NPI: 1205428992
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Feb 2021
Record last updated: 12 May 2022

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.