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Organization
ASD-PCS-DURHAM
Active
Organization
ASD-PCS-DURHAM
Active
Parent organization
ANGEL STAR OF DURHAM, INC.
Other names
Angel Star
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGEL STAR OF DURHAM, INC.
Authorized official
MRS. VERONICA K. MCLENDON (VICE PRESIDENT)
(704) 549-1659
Entity
Organization
Contact information
Practice address
3600 N DUKE ST, SUITE 103, DURHAM, NC 27704-1709
(919) 471-1800
(919) 471-1877
Mailing address
8430 UNIVERSITY EXEC PARK DR, SUITE 655, CHARLOTTE, NC 28262-1350
(704) 549-1659
(704) 549-1664
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1308
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6600379
—
NC
Enumeration date
03/31/2008
Last updated
03/31/2008
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