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
1654 DICKERSON BLVD, UNIT D, MONROE, NC 28110-2883
(704) 289-3506
(704) 289-9484
Mailing address
5410 FREDERICK ST, INDIAN TRAIL, NC 28079-6509
(704) 289-3506
(704) 289-9484
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3537
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601388
—
NC
Enumeration date
05/20/2009
Last updated
05/20/2009
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