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Organization
BLESSED COMPANION PRIVATE DUTY AND PERSONAL CARE SERVICES
Active
Organization
BLESSED COMPANION PRIVATE DUTY AND PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAKENDRA JANAE GASKINS AA,CNA,MED TECH (OWNER)
(252) 558-7031
Entity
Organization
Contact information
Practice address
2711B BLUFF VIEW DR, GREENVILLE, NC 27834-7746
(252) 558-7031
Mailing address
2711B BLUFF VIEW DR, GREENVILLE, NC 27834-7746
(252) 558-7031
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
452490
NC
251S00000X
Community/Behavioral Health Agency
452490
NC
253Z00000X
In Home Supportive Care Agency
Primary
452490
NC
Other
Enumeration date
07/04/2016
Last updated
07/04/2016
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