Organization
PROFESSIONAL HOME CARE OF NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA BAKER (DIRECTOR)
(919) 523-7659
Entity
Organization
Contact information
Practice address
315 BADGER CT, FAYETTEVILLE, NC 28303-3121
(919) 523-7659
(910) 867-4955
Mailing address
PO BOX 27893, FAYETTEVILLE, NC 28314-5048
(919) 523-7659
(910) 867-4955
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4395
NC
Other
Enumeration date
04/28/2011
Last updated
02/13/2013
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