Provider Demographics
NPI:1801434337
Name:THE NORTH CAROLINA INSTITUTE FOR HEALTH TECHNOLOGIES, INC
Entity type:Organization
Organization Name:THE NORTH CAROLINA INSTITUTE FOR HEALTH TECHNOLOGIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WAITERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-598-4657
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27702-0609
Mailing Address - Country:US
Mailing Address - Phone:919-598-4657
Mailing Address - Fax:919-598-4047
Practice Address - Street 1:518 PLEASANT DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-5132
Practice Address - Country:US
Practice Address - Phone:919-598-4657
Practice Address - Fax:919-598-4047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care