Provider Demographics
NPI:1972785012
Name:W & B HEALTH CARE INC
Entity type:Organization
Organization Name:W & B HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/QDDP
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-843-1997
Mailing Address - Street 1:130 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:RED SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28377-0168
Mailing Address - Country:US
Mailing Address - Phone:910-843-1997
Mailing Address - Fax:910-843-2171
Practice Address - Street 1:130 S MAIN ST
Practice Address - Street 2:
Practice Address - City:RED SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28377-1512
Practice Address - Country:US
Practice Address - Phone:910-843-1997
Practice Address - Fax:910-843-2171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2835251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7803941Medicaid
NC6601200Medicaid
NC3409215Medicaid
NC8300702BMedicaid
NC8300702BMedicaid