Organization
INNOVATIVE CARE, INC.
Active
Other names
B-Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
T. RODNEY WORLEY (MANAGER)
(336) 998-7351
Entity
Organization
Contact information
Practice address
5190 US HIGHWAY 158, ADVANCE, NC 27006-6946
(336) 998-7351
Mailing address
PO BOX 1678, CLEMMONS, NC 27012-1678
(336) 998-7351
(336) 998-5470
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4581854
—
TN
05
—
7701352
—
NC
Enumeration date
12/14/2006
Last updated
08/22/2020
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