Organization
FOGODEMISA HOME CARE LLC
Active
Other names
FOGODEMISA HOME CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GOLD E OMOGBEHIN (AGENCY DIRECTOR)
(910) 670-1061
Entity
Organization
Contact information
Practice address
2665 JOHN SMITH RD STE B, FAYETTEVILLE, NC 28306-2623
(910) 476-3859
Mailing address
1308 SNOWY EGRET DR, FAYETTEVILLE, NC 28306-3227
(910) 476-3859
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
02/14/2022
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