Organization
WHITE SWAN HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNATHAUN LEE (BUSINESS MANAGER)
(954) 479-9856
Entity
Organization
Contact information
Practice address
603 EASTCHESTER DR, D, HIGH POINT, NC 27262-7673
(954) 479-9856
Mailing address
PO BOX 260714, PEMBROKE PINES, FL 33026-7714
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4238
NC
Other
Enumeration date
11/26/2010
Last updated
11/26/2010
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