Organization
COMPANION HOME CARE UNIME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES VINSON GRAHAM (OWNER)
(910) 608-0430
Entity
Organization
Contact information
Practice address
4820 FAYETTEVILLE RD, LUMBERTON, NC 28358-2112
(910) 608-0430
(910) 608-0464
Mailing address
4820 FAYETTEVILLE RD, LUMBERTON, NC 28358-2112
(910) 608-0430
(910) 608-0464
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
HC1604
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300603B
—
NC
Enumeration date
02/06/2007
Last updated
02/04/2009
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