Organization
QUALITY IN HOME CARE AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRIS CORNELIUS MCPHAIL (PRESIDENT)
(910) 299-0099
Entity
Organization
Contact information
Practice address
243 GORDAN ROAD, CLINTON, NC 28328-1502
(910) 299-0099
(910) 299-0010
Mailing address
PO BOX 41, CLINTON, NC 28329-0041
(910) 299-0099
(910) 299-0010
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HC3122
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3418041
CAP
NC
05
—
6601342
—
NC
Enumeration date
12/04/2006
Last updated
03/28/2008
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