Organization · Type 2 NPI
Wp-Jacksonville Health Holdings, LLC
Adult Care Home Facility · Jacksonville, NC
NPI number
1629401203
Active
Practice location
34 Mcdaniel Dr
Jacksonville, NC 28546-6942
Fax (910) 347-1349
Mailing address
PO Box 2568
Hickory, NC 28603-2568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | HAL-067-023 (NC) |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2 other providers at this address
About NPI 1629401203
Wp-Jacksonville Health Holdings, LLC's National Provider Identifier is 1629401203, issued on Aug 19, 2013. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Jacksonville, NC. The record was last updated on Oct 22, 2021.