Organization
ONECARE#2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA DAVIS (OWNER)
(336) 803-4001
Entity
Organization
Contact information
Practice address
10418 N MAIN ST STE A, ARCHDALE, NC 27263-3282
(336) 803-4001
Mailing address
10418 N MAIN ST, ARCHDALE, NC 27263-3281
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4717
NC
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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