Organization
CLASSIC CARE HOME CARE
Active
Parent organization
CLASSIC CARE HOME CARE AGENCY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLASSIC CARE HOME CARE AGENCY, LLC
Authorized official
MRS. MERVA A MCKINNEY RN (AGENCY DIRECTOR)
(910) 235-9009
Entity
Organization
Contact information
Practice address
108 ARROWLEAF LN, WEST END, NC 27376-9795
(910) 235-9009
(910) 235-9008
Mailing address
PO BOX 651, 108 ARROWLEAF LANE, WEST END, NC 27376-0651
(910) 235-9009
(910) 235-9008
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3217
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601419
—
NC
Enumeration date
11/13/2006
Last updated
05/11/2009
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