Organization
MY FAMILY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE DAVENPORT (OWNER/SUPERVISOR)
(919) 408-9027
Entity
Organization
Contact information
Practice address
3020 PICKETT RD, SUITE 120, DURHAM, NC 27705-6000
(919) 408-9027
Mailing address
3020 PICKETT RD, SUITE 120, DURHAM, NC 27705-6000
(919) 408-9027
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4557
NC
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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