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Organization
AVID HEALTH AT HOME NORTH CAROLINA
Active
Organization
AVID HEALTH AT HOME NORTH CAROLINA
Active
Other names
Avid Health at Home NC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LENTZ (CEO)
(910) 728-4668
Entity
Organization
Contact information
Practice address
445 WESTERN BLVD STE N, JACKSONVILLE, NC 28546-6852
(910) 353-9788
(910) 353-9895
Mailing address
1508 MILITARY CUTOFF RD STE 304, WILMINGTON, NC 28403-5730
(910) 343-9996
(910) 343-0352
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC1337
NC
251J00000X
Nursing Care Agency
HC1337
NC
253Z00000X
In Home Supportive Care Agency
Primary
HC1337
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601827
—
NC
Enumeration date
03/20/2009
Last updated
11/07/2024
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