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Organization
AUDREYS COMMUNITY CARE AGENCY
Active
Organization
AUDREYS COMMUNITY CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANARA MINTZ (OWNER)
(704) 912-9561
Entity
Organization
Contact information
Practice address
303 HAMPTON DR, RAEFORD, NC 28376-8222
(704) 912-9561
Mailing address
303 HAMPTON DR, RAEFORD, NC 28376-8222
(704) 912-9561
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
253J00000X
Foster Care Agency
—
NULL
261QR0400X
Rehabilitation Clinic/Center
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NULL
332U00000X
Home Delivered Meals
—
NULL
343800000X
Secured Medical Transport (VAN)
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
09/29/2023
Last updated
07/31/2026
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