Organization
ESSENTIAL HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEARA JOHNSON (DIRECTOR)
(910) 261-8891
Entity
Organization
Contact information
Practice address
2504 RAEFORD RD, SUITE 207, FAYETTEVILLE, NC 28305-5294
(910) 483-7199
Mailing address
2504 RAEFORD RD, SUITE 207, FAYETTEVILLE, NC 28305-5294
(910) 483-7199
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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