Organization
A PERSONALIZED HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIMELISA A. SIMPSON (CEO)
(910) 682-8277
Entity
Organization
Contact information
Practice address
925 S KERR AVE, SUITE L, WILMINGTON, NC 28403-4335
(910) 742-3198
Mailing address
925 S KERR AVE, SUITE L, WILMINGTON, NC 28403-4335
(910) 742-3198
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4504
NC
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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