# COMPANION HOME HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Companion Home Care Unimed INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902945850
- **Authorized official:** MR. CHARLES VINSON GRAHAM (OWNER)
- **Authorized official phone:** (910) 608-0430

## Contact information

- **Practice address:** 4820 FAYETTEVILLE RD, LUMBERTON, NC 28358-2112
- **Practice address phone:** (910) 608-0430
- **Practice address fax:** (910) 608-0464
- **Mailing address:** 4820 FAYETTEVILLE RD, LUMBERTON, NC 28358-2112
- **Mailing address phone:** (910) 608-0430
- **Mailing address fax:** (910) 608-0464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HC1604 | NC | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 01/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6600580 | — | NC |