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Organization
WELL CARE HOME HEALTH, INC
Active
Organization
WELL CARE HOME HEALTH, INC
Active
Parent organization
WELL CARE DME LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELL CARE DME LLC
Authorized official
MR. ZAC LONG (CEO)
(910) 362-9405
Entity
Organization
Contact information
Practice address
131 RACINE DR STE 201, WILMINGTON, NC 28403-8752
(910) 362-9405
(910) 202-1376
Mailing address
131 RACINE DR STE 201, WILMINGTON, NC 28403-8752
(910) 362-9405
(910) 202-1376
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1231
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073N
BLUE CROSS BLUE SHIELD
NC
05
—
3427002
—
NC
Enumeration date
10/13/2005
Last updated
06/28/2024
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