Organization
PERSONAL CARE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWINA D. GABRIEL (ADMINISTRATOR)
(919) 286-0547
Entity
Organization
Contact information
Practice address
2922 W MAIN ST, DURHAM, NC 27705-3915
(919) 286-0547
(919) 286-0547
Mailing address
PO BOX 72267, DURHAM, NC 27722-2267
(919) 286-0547
(919) 286-0547
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3604
NC
Other
Enumeration date
12/30/2006
Last updated
07/01/2008
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