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Organization
NEW LIFE HOME CARE
Active
Organization
NEW LIFE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEARA JOHNSON (DIRECTOR)
(910) 237-5042
Entity
Organization
Contact information
Practice address
109 GREEN ST, SUITE 205, FAYETTEVILLE, NC 28301-5061
(910) 223-5347
(910) 223-5348
Mailing address
109 GREEN ST, SUITE 205, FAYETTEVILLE, NC 28301-5061
(910) 223-5347
(910) 223-5348
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/02/2009
Last updated
12/14/2011
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