Organization
B&L ADVANCED HOME CARE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE MCCOY PARDUE (EXECUTIVE DIRECTOR)
(336) 677-1002
Entity
Organization
Contact information
Practice address
120 WEST MAIN STREET, YADKINVILLE, NC 27055-8841
(336) 677-1002
Mailing address
120 WEST MAIN STREET, YADKINVILLE, NC 27055
(336) 677-1002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC4264
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6602264
—
NC
Enumeration date
06/23/2010
Last updated
11/18/2011
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