Organization
NATIVE ANGELS HOMECARE AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOBBIE JACOBS GHAFFAR (CEO)
(910) 272-6400
Entity
Organization
Contact information
Practice address
201 E. LIVERMORE DRIVE, PEMBROKE, NC 28372-7322
(910) 272-6400
(910) 320-6077
Mailing address
201 E. LIVERMORE DRIVE, PEMBROKE, NC 28372-7322
(910) 272-6400
(910) 321-6077
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HOS2861
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3401590
—
NC
Enumeration date
04/06/2006
Last updated
10/24/2012
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