Organization
ELLIOTT & HICKS ASSISTED CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUANA LENTRICE HICKS (OWNER)
(910) 978-1268
Entity
Organization
Contact information
Practice address
1501 HOPE MILLS RD STE A, FAYETTEVILLE, NC 28304-4220
(910) 978-1268
Mailing address
1501 HOPE MILLS RD STE A, FAYETTEVILLE, NC 28304-4220
(910) 978-1268
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/26/2023
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