Organization
ERIC MCKENZIE HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAHNIAH M MCINNIS (ADMINISTRATOR)
(336) 602-6680
Entity
Organization
Contact information
Practice address
8011 N POINT BLVD, SUITE G, WINSTON SALEM, NC 27106-3879
(336) 602-6680
Mailing address
8011 N POINT BLVD, SUITE G, WINSTON SALEM, NC 27106-3879
(336) 602-6680
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4870
NC
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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