Centennial Housing & Community Services Corporation
Clinic/Center, Multi-Specialty in Williamston, NC. Organization (NPI-2).
NPI number1124886965
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1124886965
- Entity type
- Organization (NPI-2)
- Legal business name
- Centennial Housing & Community Services Corporation
- Organization subpart
- No
- Enumeration date
- Mar 7, 2024
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Washington Regional Medical Center (Doing Business As)
Practice location
104 Medical DrWilliamston, NC 27892-2156
Phone 217-519-9654
Mailing address
958 Us Highway 64 EPlymouth, NC 27962-9216
Phone 252-795-4135
Authorized official
Frank Titus Avignone
Ceo
2146297860
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