Active Home Care

Organization Active NPI Adult Care Home Facility · Lumberton, NC

NPI 1891986113 · NPPES record last updated Aug 5, 2007

Key facts

NPI
1891986113
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
Legal business name
ACTIVE HOME CARE
Practice address
2201 N Pine St Ste C
Lumberton, NC 28358
Phone
(910) 671-0299
Fax
(910) 671-1983
NPI assigned
Aug 5, 2007
Organization subpart
No

Authorized official

Name
Mr. Robert W Baysdon
Title
Owner
Phone
(910) 671-0299

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NC Yes

Addresses

Primary practice location

2201 N Pine St Ste C
Lumberton, NC 28358

Mailing address

PO Box 747
Lumberton, NC 28359-0747
Phone (910) 671-0299

Other providers in Lumberton, NC

All providers in Lumberton, NC · Adult Care Home Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.