Organization
GIBSON CARE CORPORATION
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY A GIBSON (VP)
(704) 924-9909
Entity
Organization
Contact information
Practice address
608 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4353
(704) 924-9909
(704) 924-9165
Mailing address
608 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625-4353
(704) 924-9909
(704) 924-9165
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC3016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418026
—
NC
Enumeration date
11/17/2009
Last updated
03/12/2013
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