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Organization
PASSIONATE C.N.A HOME CARE SERVICE
Active
Organization
PASSIONATE C.N.A HOME CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NECHELLE LAVETTE SAMUEL (AGENCY DIRECTOR)
(336) 624-5604
Entity
Organization
Contact information
Practice address
1001 S MARSHALL ST, WINSTON SALEM, NC 27101-5852
(336) 624-5604
Mailing address
1001 S MARSHALL ST, WINSTON SALEM, NC 27101-5852
(336) 624-5604
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408590
—
NC
Enumeration date
08/17/2007
Last updated
08/17/2007
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