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Organization
SPC HOME HEALTH LLC
Active
Organization
SPC HOME HEALTH LLC
Active
Other names
SPC Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAKISHA NICOLE BREWINGTON (OWNER/BUSINESS MANAGER)
(910) 658-8525
Entity
Organization
Contact information
Practice address
4910 RANDALL PARKWAY, WILMINGTON, NC 28403-2827
(910) 395-8039
Mailing address
P.O. BOX 3385, WILMINGTON, NC 28406-0385
(910) 395-8039
(910) 395-8381
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6602388
—
NC
Enumeration date
06/03/2010
Last updated
10/12/2012
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