Organization
CLARKE COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BIDGOOD (PARTNER/DIRECTOR)
(704) 455-3500
Entity
Organization
Contact information
Practice address
6529 HUDSPETH RD, HARRISBURG, NC 28075-5004
(704) 455-3500
(704) 455-3503
Mailing address
6529 HUDSPETH RD, HARRISBURG, NC 28075-5004
(704) 455-3500
(704) 455-3503
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4459
NC
253Z00000X
In Home Supportive Care Agency
HC4459
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3419194
—
NC
05
—
6602350
—
NC
Enumeration date
10/13/2011
Last updated
01/28/2019
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