Provider Demographics
NPI:1487413381
Name:MM97, INC DBA WE HELP AT HOME
Entity type:Organization
Organization Name:MM97, INC DBA WE HELP AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN, CCM
Authorized Official - Phone:336-267-1334
Mailing Address - Street 1:PO BOX 1238
Mailing Address - Street 2:
Mailing Address - City:RAMSEUR
Mailing Address - State:NC
Mailing Address - Zip Code:27316-1238
Mailing Address - Country:US
Mailing Address - Phone:336-267-1334
Mailing Address - Fax:
Practice Address - Street 1:3972 BUSINESS 17 E
Practice Address - Street 2:
Practice Address - City:BOLIVIA
Practice Address - State:NC
Practice Address - Zip Code:28422-8698
Practice Address - Country:US
Practice Address - Phone:910-253-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care