Organization
INDEPENDENT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUREA STARKS (ADMINISTRATOR)
(910) 583-9955
Entity
Organization
Contact information
Practice address
130 N STEELE ST, STE D, SANFORD, NC 27330-3976
(910) 583-9955
Mailing address
130 N STEELE ST, STE D, SANFORD, NC 27330-3976
(910) 583-9955
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
00000000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
NC
Enumeration date
11/06/2008
Last updated
11/06/2008
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