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Organization
UR1SOURCE
Active
Organization
UR1SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON L SCOTT I (PRESIDENT)
(919) 343-2041
Entity
Organization
Contact information
Practice address
231 HILLBROOK DR, CAMERON, NC 28326-8846
(919) 343-2041
Mailing address
231 HILLBROOK DR, CAMERON, NC 28326-8846
(919) 343-2041
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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