Provider Demographics
NPI:1801029129
Name:SAUNDERS& STIERWALT
Entity type:Organization
Organization Name:SAUNDERS& STIERWALT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS ADVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MCMAHON
Authorized Official - Last Name:STIERWALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-791-1466
Mailing Address - Street 1:398 CARL ST
Mailing Address - Street 2:STE 202
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-1864
Mailing Address - Country:US
Mailing Address - Phone:910-791-1466
Mailing Address - Fax:910-397-0289
Practice Address - Street 1:398 CARL ST
Practice Address - Street 2:STE 202
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-1864
Practice Address - Country:US
Practice Address - Phone:910-791-1466
Practice Address - Fax:910-397-0289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3834251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health