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Organization

UNITY HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA MCLEAN (DIRECTOR)
(910) 864-1799
Entity
Organization

Contact information

Practice address
1419 MILTON ST, SPRING LAKE, NC 28390-2511
(910) 339-0902
Mailing address
PO BOX 48714, CUMBERLAND, NC 28331-8714
(910) 864-1799
(910) 864-9016

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL026-912
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063564003
NC
Enumeration date
12/06/2010
Last updated
12/06/2010
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