# NORTH CAROLINA OUTREACH HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346399870
- **Authorized official:** LARRY LEE DURBIN ED.D, (CEO/ OWNER)
- **Authorized official phone:** (901) 383-9193

## Contact information

- **Practice address:** 1155 N MAIN ST STE 16, MARION, NC 28752-6541
- **Practice address phone:** (828) 652-2112
- **Practice address fax:** (828) 559-3729
- **Mailing address:** 1155 N MAIN ST STE 16, MARION, NC 28752-6541
- **Mailing address phone:** (828) 652-2112
- **Mailing address fax:** (828) 559-3729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | HC 2304 | NC | — |
| 251E00000X | Home Health Agency | HC 2304 | NC | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | HC2304 | NC | — |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 03/01/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3409530 | — | NC |
| 05 | — | 6600912 | — | NC |