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Organization

PENINSULA HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD WIEBUSCH (PRESIDENT)
(704) 731-2403
Entity
Organization

Contact information

Practice address
1001 MOUNT HERMON RD, STE 200, SALISBURY, MD 21804-5107
(410) 543-7550
(410) 543-7555
Mailing address
2459 WILKINSON BLVD STE 120, CHARLOTTE, NC 28208-5669
(704) 831-5059

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH7079
MD

Other

Enumeration date
01/11/2006
Last updated
06/07/2022
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