Organization
DIVERSIFIED LIVING HOME CARE AGENCY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE SHEREE SCOTT (DIRECTOR)
(910) 848-2700
Entity
Organization
Contact information
Practice address
203 WILDWOOD DR, RAEFORD, NC 28376-8323
(910) 875-8865
Mailing address
203 WILDWOOD DR, RAEFORD, NC 28376-8323
(910) 875-8865
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3398
NC
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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