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Organization

BONDING LIVES HOME CARE AGENCY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KISHA JONES HARRIS (OWNER)
(919) 903-4459
Entity
Organization

Contact information

Practice address
1206 SUMMERFIELD LN E, CREEDMOOR, NC 27522
(252) 767-5510
Mailing address
1206 SUMMERFIELD LN E, CREEDMOOR, NC 27522

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3168
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6601384
NC
Enumeration date
05/17/2007
Last updated
09/19/2025
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