Organization
TREASURE YOU HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNATHAUN LEE (OWNER)
(954) 479-9856
Entity
Organization
Contact information
Practice address
6376 HORNBUCKLE DR, FAYETTEVILLE, NC 28311-7105
(954) 479-9856
(910) 242-9006
Mailing address
6376 HORNBUCKLE DR, FAYETTEVILLE, NC 28311-7105
(954) 479-9856
(910) 242-9006
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4794
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC4794
STATE
NC
Enumeration date
09/26/2015
Last updated
09/26/2015
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