Organization
M&B LOVING HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BULLUCK (SOLEPROPRIETOR)
(252) 907-1759
Entity
Organization
Contact information
Practice address
3793 SHEARIN RD, WHITAKERS, NC 27891-9489
(252) 907-1759
Mailing address
PO BOX 936, HOLLISTER, NC 27844-0936
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
HC3055
NC
251E00000X
Home Health Agency
HC3055
NC
253Z00000X
In Home Supportive Care Agency
Primary
HC3055
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418029
—
NC
05
—
6601312
—
NC
Enumeration date
10/04/2006
Last updated
07/17/2013
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