Organization
CARE SOUTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARA JESTER PURYEAR REGISTERED NURSE (OWNER DIRECTOR)
(336) 468-1710
Entity
Organization
Contact information
Practice address
3016 TWINS PL, BOONVILLE, NC 27011-8961
(336) 468-1710
(336) 468-8709
Mailing address
3016 TWINS PL, BOONVILLE, NC 27011-8961
(336) 468-1710
(336) 468-8709
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2086
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409349
—
NC
05
—
6600790
—
NC
Enumeration date
10/25/2006
Last updated
08/22/2020
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