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Organization

CPS HOME CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH EARL HODGES RN (AGENCY DIRECTOR)
(877) 213-3533
Entity
Organization

Contact information

Practice address
1700 E ASH ST STE 301, GOLDSBORO, NC 27530-4097
(877) 213-3533
(877) 213-7622
Mailing address
1700 E ASH ST STE 301, GOLDSBORO, NC 27530-4097
(877) 213-3533
(877) 213-7622

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6602249
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6602249
NC
Enumeration date
04/23/2014
Last updated
04/23/2014
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