Organization
LIBBY'S HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELICIA ANTONIETTE MCKOY RN (DIRECTOR)
(910) 223-9993
Entity
Organization
Contact information
Practice address
505A OWEN DR, FAYETTEVILLE, NC 28304-3433
(910) 223-9993
(910) 223-9994
Mailing address
505A OWEN DR, FAYETTEVILLE, NC 28304-3433
(910) 233-9993
(910) 223-9994
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2478
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418312
—
NC
05
—
6601046
—
NC
Enumeration date
10/09/2005
Last updated
05/08/2009
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