Organization
MALACHI HOME CARE,INC
Active
Other names
Malachi Home care, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNETTE MONIQUE GRAY (CEO)
(910) 539-8549
Entity
Organization
Contact information
Practice address
200 VALENCIA DR, SUITE 103, JACKSONVILLE, NC 28546-6311
(910) 539-8549
Mailing address
PO BOX 1733, JACKSONVILLE, NC 28541-1733
(910) 539-8549
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
NC
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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