Individual provider · Type 1 NPI
Patricia L. Tiller, CARE PROVIDER
Lodging Provider · Holly Springs, NC
NPI number
1205983095
Active
Practice location
312 E. Earp St
Holly Springs, NC 27540-0582
Fax (919) 557-7391
Mailing address
PO Box 582, 312 E. Earp St.
Holly Springs, NC 27540-0582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | FCL-092-042 (NC) |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1205983095
Patricia L. Tiller, CARE PROVIDER's National Provider Identifier is 1205983095, issued on Jan 4, 2007. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Holly Springs, NC. The record was last updated on Jul 9, 2007.