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Organization
BARBARA KING HOME AGENCY INC
Active
Organization
BARBARA KING HOME AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOCKSLEY LISA MCFADDEN MD (ADMINSTRATOR)
(910) 354-5459
Entity
Organization
Contact information
Practice address
2932 BREEZEWOOD AVE STE 103, FAYETTEVILLE, NC 28303-5455
(910) 354-5459
(910) 304-6787
Mailing address
2932 BREEZEWOOD AVE STE 103, FAYETTEVILLE, NC 28303-5455
(910) 354-5459
(910) 304-6787
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871839332
—
NC
Enumeration date
12/18/2019
Last updated
09/20/2022
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