Organization
PREVENTIVE HOME CARE AGENCY LLC
Active
Other names
preventive home care
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY WYNETTA JOHNSON (OWNER)
(919) 702-8158
Entity
Organization
Contact information
Practice address
105 N MAIN ST STE 105, ROXBORO, NC 27573-5534
(919) 702-8158
Mailing address
105 N MAIN ST STE 105, ROXBORO, NC 27573-5534
(919) 702-8158
(336) 203-4656
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
04/11/2024
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