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Organization

INDEPENDENT LIVING HOME CARE AGENCY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN HENRY (OWNER/PRESIDENT/ADMINISTRATOR)
(252) 229-1129
Entity
Organization

Contact information

Practice address
2111 NEUSE BLVD STE C, NEW BERN, NC 28560-4318
(252) 229-1129
Mailing address
2111 NEUSE BLVD STE C, NEW BERN, NC 28560-4318
(252) 229-1129

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
10/26/2022
Last updated
03/07/2023
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