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Organization

PERSONAL HOME CARE OF NORTH CAROLINA, LLC

Active
Other names
PHC Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
IVAN BELOV (DIRECTOR)
(704) 522-6144
Entity
Organization

Contact information

Practice address
119 SW MAYNARD RD STE 170A, CARY, NC 27511-4472
(919) 230-7231
Mailing address
1515 MOCKINGBIRD LN STE 520, CHARLOTTE, NC 28209-3297
(704) 522-6144
(704) 522-6145

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC2786
NC
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
10/18/2007
Last updated
07/13/2022
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