Organization
LOR-RAINE HOME CARE AGENCY LLC
Active
Other names
LOR-RAINE HOME CARE AGENCY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIJUANA DEL ROYA WHITE (AGENCY DIRECTOR)
(910) 528-7921
Entity
Organization
Contact information
Practice address
2413 ROBESON ST STE 1, FAYETTEVILLE, NC 28305-5500
(910) 491-3069
(910) 229-2141
Mailing address
2413 ROBESON ST STE 1, FAYETTEVILLE, NC 28305-5500
(910) 491-3069
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/03/2020
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