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Organization

ELDERCARE HOME CARE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RUBY L DAVIS (ADMINISTRATOR)
(919) 755-9177
Entity
Organization

Contact information

Practice address
410 OBERLIN ROAD, SUITE 301, RALEIGH, NC 27605-1352
(919) 832-7500
(919) 832-7119
Mailing address
410 OBERLIN ROAD, SUITE 301, RALEIGH, NC 27605-1352
(919) 832-7500
(919) 832-7119

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
HC1823
NC
3747P1801X
Personal Care Attendant
Primary
HC1823
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3409223
NC
Enumeration date
09/07/2007
Last updated
07/16/2008
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