Organization
PREFERRED CARE
Active
Organization
PREFERRED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA MCPHAUL (PRESIDENT/CEO)
(910) 878-0136
Entity
Organization
Contact information
Practice address
202 EAST MAIN STREET, BENNETTSVILLE, SC 29512-3106
(843) 479-0808
(843) 479-0822
Mailing address
318 HARRIS AVE, RAEFORD, NC 28376-3110
(910) 878-0136
(910) 878-0135
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX1048
—
SC
Enumeration date
04/08/2010
Last updated
12/28/2010
Update your record
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