Organization
NATIVE ANGEL HOSPICE AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESA JACOBS RN (CLINICAL DIRECTOR/CO-OWNER)
(910) 272-6431
Entity
Organization
Contact information
Practice address
215B LAUCHWOOD DR, LAURINBURG, NC 28352-4647
(910) 291-3323
(910) 291-0192
Mailing address
201 LIVERMORE DR, PEMBROKE, NC 28372-7322
(910) 272-6431
(910) 521-0875
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HPC121
SC
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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