Organization
HOME HEALTH ALLIANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL HAGINS (ADMINISTRATOR)
(910) 860-9793
Entity
Organization
Contact information
Practice address
804 STAMPER RD, 201, FAYETTEVILLE, NC 28303-4379
(910) 483-9903
Mailing address
303 THURSTON CT, FAYETTEVILLE, NC 28314-1238
(910) 860-9793
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6601298
PCS PROVIDER NUMBER
NC
Enumeration date
03/28/2007
Last updated
08/22/2020
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