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Patricia L Tiller, CAREPROVIDER
Lodging Provider in Holly Springs, North Carolina
NPI 1205983095

Patricia L Tiller is a Lodging Provider based in Holly Springs, NC. Patricia L Tiller practices in Holly Springs, NC and has the professional credentials of CAREPROVIDER. The NPI Number for Patricia L Tiller is 1205983095 and holds a License No. FCL-092-042 (North Carolina).

The current practice location address for Patricia L Tiller is 312 E. Earp St, Holly Springs, NC and can be reached out via phone at 919-552-4849 and via fax at 919-557-7391.

Location: 312 E. Earp St, Holly Springs, NC, 27540-0582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205983095
Provider Name
Patricia L Tiller
Credential
CAREPROVIDER
Provider Entity Type
Individual
Gender
Female
Address
312 E. Earp St, Holly Springs, NC, 27540-0582
Phone Number
919-552-4849
Fax Number
919-557-7391
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7801833 05 NC
institution
Provider Business Practice Location Address Details
Address
312 E. Earp St
City
Holly Springs
State
North Carolina
Zip
27540-0582
Phone Number
919-552-4849
Fax Number
919-557-7391
person
Provider Business Mailing Address Details
Address
312 E. Earp St
City
Holly Springs
State
North Carolina
Zip
27540-0582
Phone Number
919-552-4849
Fax Number
919-557-7391
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
FCL-092-042 (North Carolina)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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