Organization
COMPANION HOME CARE UNIMED INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES VINSON GRAHAM (OWNER)
(910) 608-0430
Entity
Organization
Contact information
Practice address
4820 FAYETTEVILLE RD, LUMBERTON, NC 28358-2112
(910) 608-0430
(910) 608-0464
Mailing address
4820 FAYETTEVILLE RD, LUMBERTON, NC 28358-2112
(910) 608-0430
(910) 608-0464
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-078-162
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300603
—
NC
Enumeration date
01/08/2008
Last updated
01/08/2008
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