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Organization
PIONEER HOME CARE SERVICE
Active
Organization
PIONEER HOME CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAEED MOHAMOUD ABDI (AGENCY DIRECTOR)
(704) 906-6568
Entity
Organization
Contact information
Practice address
1921 CENTRAL AVE, CHARLOTTE, NC 28205-5111
(704) 906-6568
Mailing address
1921 CENTRAL AVE, CHARLOTTE, NC 28205-5111
(704) 906-6568
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC 3894
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC3894
HOME CARE LICENSURE
NC
Enumeration date
09/15/2009
Last updated
03/21/2011
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