Organization
COMMUNITY HOMECARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REGINA DEPASS (DIRECTOR)
(704) 323-9266
Entity
Organization
Contact information
Practice address
5410 FREDERICK ST, INDIAN TRAIL, NC 28079-6509
(704) 882-5757
(704) 882-2010
Mailing address
5410 FREDERICK ST, INDIAN TRAIL, NC 28079-6509
(704) 882-5757
(704) 882-2010
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC3206
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601388
—
NC
Enumeration date
11/13/2008
Last updated
11/13/2008
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