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Organization

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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
GIRLVESTER ANDERSON (OWNER)
(910) 796-6600
Entity
Organization

Contact information

Practice address
1201 S 16TH ST, SUITE C, WILMINGTON, NC 28401-6419
(910) 796-6600
Mailing address
1201 S 16TH ST, SUITE C, WILMINGTON, NC 28401-6419
(910) 796-6600

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC2091
NC

Other

Enumeration date
04/19/2016
Last updated
04/19/2016
About Stedi
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