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Organization
PERSONAL HOME CARE OF NORTH CAROLINA, LLC
Active
Organization
PERSONAL HOME CARE OF NORTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN BELOV (DIRECTOR)
(704) 522-6144
Entity
Organization
Contact information
Practice address
1515 MOCKINGBIRD LN STE 520, CHARLOTTE, NC 28209-3297
(704) 522-6144
(704) 522-6145
Mailing address
1515 MOCKINGBIRD LN STE 520, CHARLOTTE, NC 28209-3297
(704) 522-6144
(704) 522-6145
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC2481
NC
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
11/20/2019
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