Organization
DEDICATED HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHAUN LEE (BUS MANAGER)
(954) 479-9856
Entity
Organization
Contact information
Practice address
1910 BIG MILL RD, WILLIAMSTON, NC 27892-7533
(954) 479-9856
Mailing address
4173 HEARTHSIDE DR, 104, WILMINGTON, NC 28412-8539
(954) 479-9856
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4391
NC
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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