Organization
SUNNY'S HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD P WOODBURY, JR JR. (PRESIDENT)
(336) 766-2411
Entity
Organization
Contact information
Practice address
2554 LEWISVILLE CLEMMONS RD, STE 306-G, CLEMMONS, NC 27012-8110
(336) 766-2411
(336) 766-2413
Mailing address
2554 LEWISVILLE CLEMMONS RD, STE 306-G, CLEMMONS, NC 27012-8110
(336) 766-2411
(336) 766-2413
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC3990
NC
253Z00000X
In Home Supportive Care Agency
—
NC
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418762
—
NC
05
—
6601931
—
NC
Enumeration date
12/02/2009
Last updated
04/12/2013
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