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Organization

INDEPENDENT HOME CARE AGENCY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS AUREA MARIEE STARKS (ADMINISTRATOR)
(910) 777-5300
Entity
Organization

Contact information

Practice address
130 N STEELE ST, SANFORD, NC 27330-3976
(919) 777-5300
(919) 777-5305
Mailing address
130 N STEELE ST, SANFORD, NC 27330-3976
(919) 777-5300
(919) 777-5305

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
53717
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000000
NC
Enumeration date
01/12/2009
Last updated
01/12/2009
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