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Organization

PERSONAL HOME CARE OF NORTH CAROLINA,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVAN BELOV (DIRECTOR)
(704) 522-6144
Entity
Organization

Contact information

Practice address
1446 E GASTON ST STE 103, LINCOLNTON, NC 28092
(704) 732-7021
Mailing address
1515 MOCKINGBIRD LN STE 520, CHARLOTTE, NC 28209-3297
(704) 522-6144
(704) 522-6145

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC2786
NC
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
10/22/2007
Last updated
11/20/2019
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