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Organization

FAITH HOME CARE OF NC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BONITA WRIGHT (AGENCY DIRECTOR)
(252) 948-0052
Entity
Organization

Contact information

Practice address
1201 CAROLINA AVE, SUITE 103, WASHINGTON, NC 27889-3751
(252) 948-0052
(252) 948-0059
Mailing address
PO BOX 736, CHOCOWINITY, NC 27817
(252) 948-0052
(252) 948-0059

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3747P1801X
Personal Care Attendant
HC3405
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6601502
NC
Enumeration date
01/02/2007
Last updated
07/15/2008
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