Organization
MISSION HOME HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELORES ANN MCCOY (DIRECTOR)
(910) 671-6044
Entity
Organization
Contact information
Practice address
3270 MARTIN L. KING DR., LUMBERTON, NC 28358
(910) 671-6044
(910) 671-6286
Mailing address
3270 MARTIN L. KING DRIVE, LUMBERTON, NC 28358
(910) 671-6044
(910) 671-6286
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3146
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418079
—
NC
05
—
6601377
—
NC
Enumeration date
03/23/2007
Last updated
08/22/2020
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