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Organization
NORTH CAROLINA OUTREACH HOME CARE LLC
Active
Organization
NORTH CAROLINA OUTREACH HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LEE DURBIN ED.D, (CEO/ OWNER)
(901) 383-9193
Entity
Organization
Contact information
Practice address
1155 N MAIN ST STE 16, MARION, NC 28752-6541
(828) 652-2112
(828) 559-3729
Mailing address
1155 N MAIN ST STE 16, MARION, NC 28752-6541
(828) 652-2112
(828) 559-3729
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
HC 2304
NC
251E00000X
Home Health Agency
HC 2304
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
HC2304
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409530
—
NC
05
—
6600912
—
NC
Enumeration date
01/10/2007
Last updated
03/01/2019
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