Organization
MY PCA GREENVILLES HOME CARE LLC
Active
Other names
MY PCA GREENVILLES HOME CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLY HOLLEY (OWNER/GOVERNING BODY)
(252) 558-8683
Entity
Organization
Contact information
Practice address
1206 EVANS ST, GREENVILLE, NC 27834-4102
(252) 558-8683
(252) 862-2987
Mailing address
1206 EVANS ST, GREENVILLE, NC 27834-4102
(252) 558-8683
(252) 862-2987
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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