Organization
CAROLINA HOME CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE MONTRESS STALLWORTH (PRESIDENT)
(910) 242-2956
Entity
Organization
Contact information
Practice address
105 EAST BROAD STREET, ELIZABETHTOWN, NC 28337
(910) 862-2600
(910) 862-8400
Mailing address
PO BOX 1165, ELIZABETHTOWN, NC 28337
(910) 862-2600
(910) 862-8400
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4169
NC
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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