Organization
UNIQUE HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLENE BOONE (EXECUTIVE DIRECTOR)
(252) 398-9990
Entity
Organization
Contact information
Practice address
106 S. RAILROAD STREET, AHOSKIE, NC 27910
(252) 332-4509
(252) 332-4509
Mailing address
PO BOX 397, AHOSKIE, NC 27910-0397
(252) 332-4509
(252) 332-4509
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3173
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418082
—
NC
Enumeration date
10/01/2007
Last updated
10/01/2007
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