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Organization

ACTIVE HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT W BAYSDON (OWNER)
(910) 671-0299
Entity
Organization

Contact information

Practice address
2201 N PINE ST STE C, LUMBERTON, NC 28358
(910) 671-0299
(910) 671-1983
Mailing address
PO BOX 747, LUMBERTON, NC 28359-0747
(910) 671-0299
(910) 671-1983

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
NC

Other

Enumeration date
08/05/2007
Last updated
08/05/2007
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