Organization
COMMUNITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY DOUGLAS RICHARDSON (OWNER/MEMBER)
(910) 690-0582
Entity
Organization
Contact information
Practice address
201B S MAIN ST # B, MC COLL, SC 29570-2020
(910) 690-0582
Mailing address
547 7 LKS N, WEST END, NC 27376-9767
(910) 690-0582
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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