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Organization
ANIYA'S HEART HOME CARE AGENCY, INC.
Active
Organization
ANIYA'S HEART HOME CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA LUCRETIA BUTLER BSN, RN (PRESIDENT/CEO)
(910) 840-1453
Entity
Organization
Contact information
Practice address
24464 PEACOCK RD, TABOR CITY, NC 28463-7086
(910) 840-1453
Mailing address
24464 PEACOCK RD, TABOR CITY, NC 28463-7086
(910) 840-1453
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4555
NC
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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