Organization
CAROLINA HOME STAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA O'DANIEL JACOBS (MANAGING DIRECTOR)
(919) 444-4544
Entity
Organization
Contact information
Practice address
58 STONE LEDGE, 58 FEARRINGTON POST, PITTSBORO, NC 27312
(919) 542-5151
Mailing address
58 FEARRINGTON POST, PITTSBORO, NC 27312-8550
(919) 444-4544
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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