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Russell L Butler
Home Health Agency in Fayetteville, North Carolina
NPI 1447962410

Russell L Butler is a Home Health Agency based in Fayetteville, NC. Russell L Butler practices in Fayetteville, NC. The NPI Number for Russell L Butler is 1447962410 and holds a License No. HC5495 (North Carolina).

The current practice location address for Russell L Butler is 584 Executive Pl Ste 202, Fayetteville, NC and can be reached out via phone at 910-500-3019 and via fax at 910-500-3068.

Location: 584 Executive Pl Ste 202, Fayetteville, NC, 28305-5183
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447962410
Provider Name
Russell L Butler
Credential
Provider Entity Type
Individual
Gender
Male
Address
584 Executive Pl Ste 202, Fayetteville, NC, 28305-5183
Phone Number
910-500-3019
Fax Number
910-500-3068
Provider Enumeration Date
12/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84177658 05 NC
institution
Provider Business Practice Location Address Details
Address
584 Executive Pl Ste 202
City
Fayetteville
State
North Carolina
Zip
28305-5183
Phone Number
910-500-3019
Fax Number
910-500-3068
person
Provider Business Mailing Address Details
Address
584 Executive Pl Ste 202
City
Fayetteville
State
North Carolina
Zip
28305-5183
Phone Number
910-500-3019
Fax Number
910-500-3068
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
HC5495 (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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