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Organization

SENIOR HOME HELPERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SAMANTHA LAUREN HOLLEY (OWNER)
(336) 633-1122
Entity
Organization

Contact information

Practice address
1947 N FAYETTEVILLE ST, ASHEBORO, NC 27203-3269
(336) 633-1122
(336) 633-1122
Mailing address
105 EVANS TRL, RANDLEMAN, NC 27317-8320
(336) 633-1122

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HC 3081
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3418129
NC
05
6601324
NC
Enumeration date
12/28/2006
Last updated
05/21/2008
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