Organization
RESTORATION HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA DIANE WHITE (ADMINISTRATOR/OWNER)
(910) 223-7707
Entity
Organization
Contact information
Practice address
6905 JOHNSON RD, FAYETTEVILLE, NC 28312-7895
(910) 223-7707
(910) 223-7707
Mailing address
6905 JOHNSON RD, FAYETTEVILLE, NC 28312-7895
(910) 223-7707
(910) 223-7707
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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