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Organization
PENINSULA HOME CARE AT NANTICOKE LLC
Active
Organization
PENINSULA HOME CARE AT NANTICOKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD WIEBUSCH (VICE PRESIDENT)
(704) 731-2403
Entity
Organization
Contact information
Practice address
10252 STONE CREEK DR UNIT 3, LAUREL, DE 19956-4706
(302) 691-9898
Mailing address
2459 WILKINSON BLVD STE 120, CHARLOTTE, NC 28208-5669
(704) 831-5059
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
087036
DE
Other
Enumeration date
01/21/2006
Last updated
05/05/2025
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