Organization
AMAZING GRACE HOME CARE OF ELKIN, LLC
Active
Other names
Amazing Grace Home Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH WHEELER MARTIN RN (OWNER/DIRECTOR)
(336) 835-1362
Entity
Organization
Contact information
Practice address
2044B N BRIDGE ST, ELKIN, NC 28621-2108
(336) 835-1362
(336) 835-1754
Mailing address
2044B N BRIDGE ST, ELKIN, NC 28621-2108
(336) 835-1362
(336) 835-1754
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3895
NC
253Z00000X
In Home Supportive Care Agency
HC3895
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418767
—
NC
05
—
6601977
—
NC
Enumeration date
02/03/2010
Last updated
07/11/2013
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