Organization
MONAE'S HOME CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIE NICOLE PEARSALL R.N. (DIRECTOR)
(919) 453-3190
Entity
Organization
Contact information
Practice address
218 SOLLIE AYSCUE RD, HENDERSON, NC 27537-9138
(252) 220-0141
Mailing address
PO BOX 38, LOUISBURG, NC 27549-0038
(252) 220-0141
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC4525
NC
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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