Individual
FELICIA LAVERN GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 TREEACRES CIRCLE NW, CALABASH, NC 28467
(803) 526-9873
Mailing address
PO BOX 6702, OCEAN ISLE BEACH, NC 28469
(803) 526-9873
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NC
3747P1801X
Personal Care Attendant
—
NC
376K00000X
Nurse's Aide
—
NC
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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