34D0917498 CLIA NUMBER - HOSPICE OF EASTERN CAROLINA, INC DBA AESERACARE HOSPICE

Laboratory Demographics

CLIA Number: 34D0917498

Facility Name: HOSPICE OF EASTERN CAROLINA, INC DBA AESERACARE HOSPICE

Facility Address:
2317 EXECUTIVE CIRCLE, SUITE B
GREENVILLE, NC
ZIP 27834
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Facility Phone Number: 414 607-1782

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1619918125

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	34D0917498
LAB Type	Hospice
Facility Name	HOSPICE OF EASTERN CAROLINA, INC DBA AESERACARE HOSPICE
Street	2317 EXECUTIVE CIRCLE, SUITE B
City	GREENVILLE
State	NC
ZIP	27834
Phone	414 607-1782
CertificateType	4
CertificateEffectiveDate	7/22/2022
CertificateExpirationDate	7/21/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024