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Organization
STAY AT HOME SENIOR CARE, LLC
Active
Organization
STAY AT HOME SENIOR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH BORDEAUX (PRESIDENT)
(919) 556-3706
Entity
Organization
Contact information
Practice address
2014 S MAIN ST, SUITE 610, WAKE FOREST, NC 27587-4339
(919) 556-3706
Mailing address
2014 S MAIN ST, SUITE 610, WAKE FOREST, NC 27587-4339
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
230375126
NC
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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