Organization
MICAH'S HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE WASHINGTON (OWNER)
(704) 605-6406
Entity
Organization
Contact information
Practice address
2444 COMMERCE RD STE 232, JACKSONVILLE, NC 28546-7560
(704) 605-6406
Mailing address
310 GEORGETOWN RD, JACKSONVILLE, NC 28540-4112
(704) 605-6406
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HC4279
NC
Other
Enumeration date
01/11/2011
Last updated
01/18/2011
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