| Halo Hands Foundation, Inc | |
|
4564 Country Ln Rocky Mount NC 27803-8327 | |
| (954) 683-1352 | |
| Not Available |
| Full Name | Halo Hands Foundation, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4564 Country Ln, Rocky Mount, North Carolina |
| Authorized Official Name and Position | La Wanda Arnita Pulley (VIE PRESIDENT) |
| Authorized Official Contact | 9546831352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halo Hands Foundation, Inc 4564 Country Ln Rocky Mount NC 27803-8327 Ph: (954) 683-1352 | Halo Hands Foundation, Inc 4564 Country Ln Rocky Mount NC 27803-8327 Ph: (954) 683-1352 |
| NPI Number | 1285155416 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7113271271 |
|---|---|
| Medicare Enrollment ID | O20181108002578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285155416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5008462 (North Carolina) | Primary |
| Provider Name | Lawanda Pulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750743308 PECOS PAC ID: 3779872346 Enrollment ID: I20170106001647 |
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