Organization
FOUR H HOME CARE AGENCY
Active
Other names
Four H Home Care Agency
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN G HICKS RN (AGENCY DIRECTOR)
(919) 603-0661
Entity
Organization
Contact information
Practice address
1213 GOSHEN ST, SUITE B, OXFORD, NC 27565-9313
(919) 603-0661
(919) 603-1661
Mailing address
1213 GOSHEN ST, SUITE B, OXFORD, NC 27565-9313
(919) 603-0661
(919) 603-1661
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
HC4295
NC
251J00000X
Nursing Care Agency
HC4295
NC
253Z00000X
In Home Supportive Care Agency
Primary
HC4295
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3419098
—
NC
05
—
6602203
—
NC
Enumeration date
09/11/2013
Last updated
09/11/2013
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