Organization
CARRIES HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICO HOLLINGSWORTH (DIRECTOR)
(910) 904-5434
Entity
Organization
Contact information
Practice address
4003 FAYETTEVILLE RD, RAEFORD, NC 28376-8058
(910) 904-5434
Mailing address
4003 FAYETTEVILLE RD, RAEFORD, NC 28376-8058
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409226
—
NC
05
—
6600701
—
NC
Enumeration date
12/29/2014
Last updated
12/29/2014
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