Organization
CENTRAL CAROLINA HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. URSULA TOMIKA WHITE, RN, BSN (CEO,CNO)
(910) 920-3921
Entity
Organization
Contact information
Practice address
111 LAMON ST, SUITE 119, FAYETTEVILLE, NC 28301-4901
(910) 920-3921
(800) 486-4319
Mailing address
PO BOX 11065, FAYETTEVILLE, NC 28303-2799
(910) 920-3921
(800) 486-4319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4424
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3419172
—
NC
05
—
6602287
—
NC
Enumeration date
06/22/2011
Last updated
02/24/2013
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