Organization
MANAGED CARE DIVERSIFIED HOME CARE SERVICES
Active
Other names
Managed Care Diversified Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CORBETT DAWES (DIRECTOR)
(252) 641-6885
Entity
Organization
Contact information
Practice address
1600 WESTERN BLVD, SUITE #31, TARBORO, NC 27886-2788
(252) 641-6885
(252) 641-5889
Mailing address
PO BOX 602, TARBORO, NC 27886-0602
(252) 641-6885
(252) 641-6889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
05/11/2021
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