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Mrs. Anissa Emanuel Bullard
In Home Supportive Care Agency in Lumberton, North Carolina
NPI 1306006127

Anissa Emanuel Bullard is a In Home Supportive Care Agency based in Lumberton, NC. Anissa Emanuel Bullard practices in Lumberton, NC. The NPI Number for Anissa Emanuel Bullard is 1306006127 and holds a License No. HC1961 (North Carolina).

The current practice location address for Anissa Emanuel Bullard is 1548 Nc Highway 211 W, Lumberton, NC and can be reached out via phone at 910-735-0500 and via fax at 910-735-0200.

Location: 1548 Nc Highway 211 W, Lumberton, NC, 28360-3696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306006127
Provider Name
Anissa Emanuel Bullard
Credential
Provider Entity Type
Individual
Gender
Female
Address
1548 Nc Highway 211 W, Lumberton, NC, 28360-3696
Phone Number
910-735-0500
Fax Number
910-735-0200
Provider Enumeration Date
06/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CAP3409271 05 NC
7705295 05 NC
3419206 05 NC
PCS6600738 05 NC
institution
Provider Business Practice Location Address Details
Address
1548 Nc Highway 211 W
City
Lumberton
State
North Carolina
Zip
28360-3696
Phone Number
910-735-0500
Fax Number
910-735-0200
person
Provider Business Mailing Address Details
Address
1548 Nc Highway 211 W
City
Lumberton
State
North Carolina
Zip
28360-3696
Phone Number
910-735-0500
Fax Number
910-735-0200
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
HC1961 (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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
00982 (North Carolina)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
HC1961 (North Carolina)
Definition
Definition to come...
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