Provider Demographics
NPI:1285270561
Name:PERSONAL CARE SOLUTIONS OF THE CAROLINAS
Entity type:Organization
Organization Name:PERSONAL CARE SOLUTIONS OF THE CAROLINAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GENWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-648-2124
Mailing Address - Street 1:3450 JAMES B WHITE HWY S
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-8678
Mailing Address - Country:US
Mailing Address - Phone:910-648-2124
Mailing Address - Fax:
Practice Address - Street 1:3450 JAMES B WHITE HWY S
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-8678
Practice Address - Country:US
Practice Address - Phone:910-648-2124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care