Organization
CAROLINA HEALTHCARE SOUTHEAST REGION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE JUDGE MCLAIN (MEMBER)
(336) 608-1548
Entity
Organization
Contact information
Practice address
123 E MARTIN ST, SUITE 300, WADESBORO, NC 28170-2216
(336) 608-1548
(336) 397-0097
Mailing address
301 N MAIN ST, SUITE 2501, WINSTON SALEM, NC 27101-3836
(336) 608-1548
(336) 397-0097
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3361
NC
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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