Organization
MID-STATE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA IRENE BLOEDOORN RN (PRESIDENT)
(910) 484-3148
Entity
Organization
Contact information
Practice address
3721 LEGION RD, HOPE MILLS, NC 28348-8411
(910) 484-3148
(910) 484-1315
Mailing address
3721 LEGION RD, HOPE MILLS, NC 28348-8411
(910) 484-3148
(910) 484-1315
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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