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Organization
CARRISMA HOME CARE, LLC
Active
Organization
CARRISMA HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY CARR (OWNER)
(336) 403-3677
Entity
Organization
Contact information
Practice address
1396 OLD MILL CIR, SUITE 1-A, WINSTON SALEM, NC 27103-2976
(336) 765-0806
Mailing address
P. O. BOX 26611, WINSTON SALEM, NC 27114-6611
(336) 765-0806
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4558
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC4558
HOME CARE SERVICES: IN-HOME AIDE, COMPANION, SITTER, RESPITE
NC
Enumeration date
07/20/2012
Last updated
03/02/2015
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