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Organization
PATTERSON HOME CARE, INC.
Active
Organization
PATTERSON HOME CARE, INC.
Active
Other names
Patterson Home Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAROLETTE BOUVIER PATTERSON (ADM)
(910) 527-8427
Entity
Organization
Contact information
Practice address
6331 RANNOCK DR., FAYETTEVILLE, NC 28304
(910) 527-8427
(910) 822-8202
Mailing address
PO BOX 64013, 6331 RANNOCK DR., FAY, NC 28304
(910) 527-8427
(910) 822-8202
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MHL 026766
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
02/23/2007
Last updated
06/03/2016
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