Provider Demographics
NPI:1679726574
Name:ACTION TEMPORARIES OF ROCKY MOUNT, INC.
Entity type:Organization
Organization Name:ACTION TEMPORARIES OF ROCKY MOUNT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANGUS
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-466-2000
Mailing Address - Street 1:PO BOX 7462
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-0462
Mailing Address - Country:US
Mailing Address - Phone:252-446-7856
Mailing Address - Fax:252-446-4244
Practice Address - Street 1:134 ROUNDABOUT CT
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-3573
Practice Address - Country:US
Practice Address - Phone:252-446-2000
Practice Address - Fax:252-446-4244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1268251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601829Medicaid