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Organization
ST. MARY'S HOME CARE SERVICES, INC.
Active
Organization
ST. MARY'S HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELTON JOSEPH (PRESIDENT)
(919) 274-7282
Entity
Organization
Contact information
Practice address
1910 SEDWICK RD, SUITE 500B, DURHAM, NC 27713-7807
(919) 363-1462
(919) 367-9474
Mailing address
PO BOX 16104, GREENSBORO, NC 27416-0104
(414) 628-0439
(336) 285-5749
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6600781
—
NC
Enumeration date
10/04/2012
Last updated
10/04/2012
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