Organization
YANCEY HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WADE DAHLBERG JR. (PRESIDENT)
(828) 678-3402
Entity
Organization
Contact information
Practice address
671 W US HIGHWAY 19E BYP, BURNSVILLE, NC 28714-7279
(828) 678-3402
(828) 678-3404
Mailing address
PO BOX 1180, BURNSVILLE, NC 28714-1180
(828) 678-3402
(828) 678-3404
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
01029
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7704285
—
NC
Enumeration date
08/17/2006
Last updated
10/13/2011
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