Organization
LOVING GRACE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRON VANCLEAVE (DIRECTOR)
(910) 339-0452
Entity
Organization
Contact information
Practice address
709 LAKELAND ST, FAYETTEVILLE, NC 28301-4243
(910) 339-0452
Mailing address
PO BOX 2463, DUNN, NC 28335-2463
(910) 658-2548
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC6834
—
NC
Enumeration date
01/20/2023
Last updated
01/20/2023
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