Magnolia Bridge Home And Health Llc | |
118 Realini Dr, Havelock, NC 28532-9403 | |
(252) 665-8819 | |
(252) 254-2705 |
Full Name | Magnolia Bridge Home And Health Llc |
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Type | Facility |
Speciality | In Home Supportive Care |
Location | 118 Realini Dr, Havelock, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811579758 | NPI | - | NPPES |
Provider Name | Tracy L Hayes |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578839403 PECOS PAC ID: 7113313933 Enrollment ID: I20220405002510 |
Provider Name | Shannon Marie Mays |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568189397 PECOS PAC ID: 0840667473 Enrollment ID: I20221110001099 |
Provider Name | Maria Lourdes Ancheta Palma |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477033611 PECOS PAC ID: 5698135614 Enrollment ID: I20230721000848 |
Provider Name | Robin K Digiacomo |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1548434855 PECOS PAC ID: 9537447222 Enrollment ID: I20230802001875 |
Provider Name | Terra Erdner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770130338 PECOS PAC ID: 8820431331 Enrollment ID: I20240212001528 |
Provider Name | Morgan Lindsay Rowe |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447808142 PECOS PAC ID: 2860839768 Enrollment ID: I20240327003415 |
Mailing Address | Practice Location Address |
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Magnolia Bridge Home And Health Llc 118 Realini Dr, Havelock, NC 28532-9403 Ph: (252) 665-8819 | Magnolia Bridge Home And Health Llc 118 Realini Dr, Havelock, NC 28532-9403 Ph: (252) 665-8819 |