Organization
CLADDAUGH HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS LOYD MCMILLAN (AGENCY DIRECTOR OWNER)
(704) 480-6506
Entity
Organization
Contact information
Practice address
201 S WASHINGTON ST, #104, SHELBY, NC 28150-2614
(704) 480-6506
(704) 480-8187
Mailing address
PO BOX 519, SHELBY, NC 28151-0519
(704) 480-6506
(704) 480-8187
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1993
NC
251E00000X
Home Health Agency
HC2271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409289
—
NC
05
—
6600752
—
NC
05
—
7100420
—
NC
Enumeration date
07/29/2005
Last updated
08/03/2009
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