Organization
HOMECHOICE OF COASTAL CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL LYN BRANDENBURG (DIRECTOR)
(919) 897-8502
Entity
Organization
Contact information
Practice address
1000 N MAIN ST STE 102, FUQUAY VARINA, NC 27526-2056
(919) 557-4663
Mailing address
4000 BLUE RIDGE RD STE 120, RALEIGH, NC 27612-8061
(919) 897-8585
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
12/08/2021
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