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Organization

CAROLINA HOME CARE SPECIALISTS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DONNA C. LUTTRELL R.N. (AGENCY DIRECTOR)
(828) 765-4343
Entity
Organization

Contact information

Practice address
125 SKYVIEW CIRCLE, SPRUCE PINE, NC 28777-9518
(828) 765-4343
(828) 765-4340
Mailing address
125 SKYVIEW CIRCLE, PO BOX 549, SPRUCE PINE, NC 28777-0549
(828) 765-4343
(828) 765-4340

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC2863
NC
3747P1801X
Personal Care Attendant
HC2863
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408152
NC
05
6601196
NC
Enumeration date
08/04/2006
Last updated
07/12/2013
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