Organization
CHANGING GRACE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DICKERSON (OWNER)
(252) 315-5794
Entity
Organization
Contact information
Practice address
622 LINCOLN DR, KENLY, NC 27542-8087
(252) 315-5794
Mailing address
4232 COGHILL DR N, WILSON, NC 27896-9503
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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