Organization
LILY CARE INC
Active
Other names
Lily Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TICE JAMES RANDOLPH (OWNER)
(828) 659-8879
Entity
Organization
Contact information
Practice address
50 STATE ST, MARION, NC 28752-4021
(828) 659-8879
(828) 659-8879
Mailing address
50 STATE STREET, MARION, NC 28752-4548
(828) 659-8879
(828) 659-8879
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2338
NC
253Z00000X
In Home Supportive Care Agency
HC2338
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408122
—
NC
05
—
6600926
—
NC
Enumeration date
01/03/2007
Last updated
11/21/2023
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