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Organization
INTERCARE HOME HEALTH SERVICE LLC
Active
Organization
INTERCARE HOME HEALTH SERVICE LLC
Active
Other names
Intercare (Home) Heath Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NGOZI NNAJI RN (DIRECTOR)
(704) 332-9880
Entity
Organization
Contact information
Practice address
311 W 24TH STREET, 311 W 24TH STREET, CHARLOTTE, NC 28206
(704) 332-9880
(704) 332-9890
Mailing address
311 W 24TH STREET, 311 W 24 STREET, CHARLOTTE, NC 28206
(704) 332-9880
(704) 332-9890
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
208IH0002X
NC
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366628885
—
NC
05
—
6601558
—
NC
Enumeration date
01/15/2008
Last updated
11/22/2023
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