Organization
CAROLINA SELECT HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT ALAN STANLEY (DIRECTOR)
(336) 527-4955
Entity
Organization
Contact information
Practice address
948-B JOHNSON RIDGE RD., ELKIN, NC 28621
(336) 527-4955
Mailing address
948-B JOHNSON RIDGE RD., ELKIN, NC 28621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409354
—
NC
05
—
6600794
—
NC
Enumeration date
01/24/2007
Last updated
08/02/2007
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