Organization
PEGUES PERSONAL CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY EUGENE PEGUES CRT, RCP (DIRECTOR)
19103189996
Entity
Organization
Contact information
Practice address
12180 OAK CROFT TRL, LAURINBURG, NC 28352-1837
(910) 277-1399
Mailing address
12180 OAK CROFT TRL, LAURINBURG, NC 28352-1837
(910) 277-1399
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3243
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601418
—
NC
Enumeration date
07/18/2007
Last updated
07/18/2007
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