Organization
NATIVE PRIDE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYLA PHETVISAY (PRESIDENT)
(800) 357-2713
Entity
Organization
Contact information
Practice address
619 S MAIN ST, LAURINBURG, NC 28352-4535
(800) 357-2713
Mailing address
PO BOX 36409, GREENSBORO, NC 27416-6409
(800) 357-2713
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4468
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC4468
—
NC
Enumeration date
03/31/2015
Last updated
03/31/2015
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