Organization
CAROLINA PERSONAL CARE AGENCY LLC
Active
Organization
CAROLINA PERSONAL CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN ALICE MOORE RN (DIRECTOR RN)
(910) 590-2480
Entity
Organization
Contact information
Practice address
919 ROWAN RD, CLINTON, NC 28328-0872
(910) 590-2480
(910) 592-2718
Mailing address
919 ROWAN RD, CLINTON, NC 28328-0872
(910) 590-2480
(910) 592-2718
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HC2980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601295
—
NC
Enumeration date
01/12/2007
Last updated
08/22/2020
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