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Organization
ROYAL HOME CARE OF NORTH CAROLINA, LLC
Active
Organization
ROYAL HOME CARE OF NORTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYLA PHETVISAY (PRESIDENT)
(704) 957-5774
Entity
Organization
Contact information
Practice address
2530 MERIDIAN PKWY, SUITE 200, DURHAM, NC 27713-5272
(800) 681-8497
(844) 852-7565
Mailing address
PO BOX 36409, GREENSBORO, NC 27416-6409
(800) 681-8497
(844) 852-7565
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC3990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC3990
—
NC
Enumeration date
01/14/2015
Last updated
01/14/2015
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