Organization
PHENOMENAL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA CARTER LYONS (DIRECTOR)
(252) 955-7893
Entity
Organization
Contact information
Practice address
105 ONYX LN, KNIGHTDALE, NC 27545-7873
(252) 955-7893
Mailing address
105 ONYX LN, KNIGHTDALE, NC 27545-7873
(252) 955-7893
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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