- Enrollment id
- O20050518000381
- Enrollment state
- NC
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1912962697
- Multiple npi flag
- N
- Ccn
- 341515
- Associate id
- 3375445190
- Organization name
- LOWER CAPE FEAR HOSPICE INCORPORATED
- Doing business as name
- LOWER CAPE FEAR LIFECARE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1414 PHYSICIANS DR
- City
- WILMINGTON
- State
- NC
- Zip code
- 284017335