Organization
COMPANION HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA SMITH F (BILLING)
(910) 608-3511
Entity
Organization
Contact information
Practice address
3317 NC HIGHWAY 211 W, LUMBERTON, NC 28360-3570
(910) 608-6511
(910) 608-3530
Mailing address
PO BOX 753, LUMBERTON, NC 28359-0753
(910) 608-3511
(910) 608-3530
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-078-162
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302008G
—
NC
Enumeration date
07/18/2008
Last updated
07/18/2008
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