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Ms. Jacqueline Whitaker Bandy
Home Health Agency in Rocky Mount, North Carolina
NPI 1043350812

Jacqueline Whitaker Bandy is a Home Health Agency based in Rocky Mount, NC. Jacqueline Whitaker Bandy practices in Rocky Mount, NC. The NPI Number for Jacqueline Whitaker Bandy is 1043350812 and holds a License No. HC3572 (North Carolina).

The current practice location address for Jacqueline Whitaker Bandy is 3072 Sunset Ave # B, Rocky Mount, NC and can be reached out via phone at 252-443-4276 and via fax at 252-443-4014. You can also correspond with Jacqueline Whitaker Bandy through the mailing address at 1260 FAIRWAY TER, ROCKY MOUNT, NC - 27804-9618 (mailing address contact number: 252-443-4276).

Location: 3072 Sunset Ave # B, Rocky Mount, NC, 27804-9618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043350812
Provider Name
Jacqueline Whitaker Bandy
Credential
Provider Entity Type
Individual
Gender
Female
Address
3072 Sunset Ave # B, Rocky Mount, NC, 27804-9618
Phone Number
252-443-4276
Fax Number
252-443-4014
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6601597 05 NC
institution
Provider Business Practice Location Address Details
Address
3072 Sunset Ave # B
City
Rocky Mount
State
North Carolina
Zip
27804-3647
Phone Number
252-443-4276
Fax Number
252-443-4014
person
Provider Business Mailing Address Details
Address
3072 Sunset Ave # B
City
Rocky Mount
State
North Carolina
Zip
27804-3647
Phone Number
252-443-4276
Fax Number
252-443-4014
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
HC3572 (North Carolina)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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