Organization
BARBARA KING HOME AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOCKSLEY LISA MCFADDEN MD (ADMINSTRATOR)
(910) 354-5459
Entity
Organization
Contact information
Practice address
2932 BREEZEWOOD AVE STE 103, FAYETTEVILLE, NC 28303-5455
(910) 354-5459
(910) 304-6787
Mailing address
2932 BREEZEWOOD AVE STE 103, FAYETTEVILLE, NC 28303-5455
(910) 354-5459
(910) 304-6787
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871839332
—
NC
Enumeration date
12/18/2019
Last updated
09/20/2022
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