# DILACK HOME CARE AND NURSING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dilack homecare and nursing services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790323368
- **Authorized official:** STEPHEN EZEH (OWNER)
- **Authorized official phone:** (704) 953-5002

## Contact information

- **Practice address:** 16501 NORTHCROSS DR STE D, HUNTERSVILLE, NC 28078-5040
- **Practice address phone:** (704) 953-5002
- **Mailing address:** 16501D NORTHCROSS DR STE D, HUNTERSVILLE, NC 28078-5081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 163WI0500X | Infusion Therapy Registered Nurse | — | NULL | — |
| 163WI0500X | Infusion Therapy Registered Nurse | — | — | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/13/2019
- **Last updated:** 12/27/2019