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Organization
NORTH CAROLINA OUTREACH HOME CARE, LLC
Active
Organization
NORTH CAROLINA OUTREACH HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON DURBIN (CHIEF QUALITY OFFICER)
(901) 410-9058
Entity
Organization
Contact information
Practice address
7 GLENN BRIDGE RD STE A, ARDEN, NC 28704-3333
(828) 785-1488
Mailing address
7 GLENN BRIDGE RD STE A, ARDEN, NC 28704-3333
(828) 785-1488
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-011-323
NC
253Z00000X
In Home Supportive Care Agency
MHL-011-323
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409530
—
NC
Enumeration date
05/29/2015
Last updated
05/29/2015
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