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Organization

PERSONAL HEALTHCARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD W RUTHERFORD (PRESIDENT)
(919) 845-0845
Entity
Organization

Contact information

Practice address
36 HALES STORE RD, ZEBULON, NC 27597-5918
(919) 404-4774
(919) 404-4711
Mailing address
211 E SIX FORKS RD, SUITE 122, RALEIGH, NC 27609-7745
(919) 845-0845
(919) 845-0720

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC 2498
NC
251E00000X
Home Health Agency
HC 3107
NC
251E00000X
Home Health Agency
HC 3108
NC
251E00000X
Home Health Agency
Primary
HC2355
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3409595
NC
05
6600944
NC
05
6601140
NC
05
6601403
NC
05
6601404
NC
Enumeration date
11/28/2006
Last updated
08/22/2020
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