Organization
MEDICINE COVE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANDRE NUSTAR HSD (OWNER)
(984) 212-3065
Entity
Organization
Contact information
Practice address
108 MEDICINE COVE, LOUISBURG, NC 27549
(984) 212-3065
Mailing address
1033 LAKE ROYALE, LOUISBURG, NC 27549
(984) 212-3065
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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