Organization
FENOMINAL HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELICIA ALSTON (CHIEF EXECUTIVE OFFICER)
(919) 842-3330
Entity
Organization
Contact information
Practice address
160 CHARLOTTE AVE, SANFORD, NC 27330-4318
(919) 842-3330
(919) 292-1944
Mailing address
4302 TIMBERBROOKE DR APT 1D, GREENSBORO, NC 27409-9266
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/03/2019
Last updated
12/13/2021
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