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Organization

A-Z HOME HEALTH CARE OF NORTH CAROLINA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MCTISA MICHELLE LANE DNP (AGENCY DIRECTOR/ CO-OWNER)
(984) 269-3413
Entity
Organization

Contact information

Practice address
88 MOSBY LN, SPRING LAKE, NC 28390-7120
(984) 269-3413
(910) 436-0268
Mailing address
PO BOX 70, SPRING LAKE, NC 28390-0070
(984) 269-3413
(910) 436-0268

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
07/06/2022
Last updated
07/06/2022
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